Active NPI
Stephanie Conner Whigham, M.S., OTR/L
- Occupational Therapist
- Boone, NC
National Provider Identifier
1043754476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9940
- Practice address
- 118 Skyler LN
Boone, NC 28607-6768 - Phone
- (919) 437-5575
- NPI assigned
- Dec 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9940 | NC | Primary |
Addresses
Primary practice location
118 Skyler LN
Boone, NC 28607-6768
Mailing address
118 Skyler LN
Boone, NC 28607-6768
Phone (919) 437-5575
Other practice location 1
111 N Fern Abbey Ln
Cary, NC 27518-8981
Phone (919) 647-4763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9940 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Pediatric Therapy PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Jefferson, NC
- NPI 1700400173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1043754476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 SKYLER LN",
"city": "BOONE",
"state": "NC",
"postal_code": "286076768",
"telephone_number": "919-437-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SKYLER LN",
"city": "BOONE",
"state": "NC",
"postal_code": "286076768",
"telephone_number": "919-437-5575"
}
],
"practiceLocations": [
{
"address_1": "111 N Fern Abbey Ln",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275188981",
"country_code": "US",
"telephone_number": "919-647-4763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHIGHAM",
"first_name": "STEPHANIE",
"middle_name": "CONNER",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-04",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
- West Acupuncture & Wellness
- Western Carolina Eye Associates, PA
- Western Youth Network, Inc
- Aaron A Westphal, M.D.
- Alexis Nicole Whalley, MOT, OTR/L
- Adam Brock Whiteley, DMD, MS
- Kelly Walsh Whiteley, D.M.D.
- John Lee Whitlock, M.D.
- Kimberly Brooke Whitman, MSSW, LCSW, LCASA
- Sierra Melina-Victoria Whitmire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.