Stephanie Noel Cripps, MD
Individual provider Active NPI Psychiatry Physician · Butner, NC
NPI 1104359694 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1104359694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 2021-02663 (NC)
- Practice address
- 300 Veazey Dr
Butner, NC 27509-1668 - Phone
- (919) 764-2000
- NPI assigned
- Apr 11, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210810003250 | NC | Order and Referring Only - Psychiatry |
9739583923 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-02663 | NC | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 2021-02663 | NC | Yes |
Addresses
Primary practice location
300 Veazey Dr
Butner, NC 27509-1668
Mailing address
300 Veazey Dr
Butner, NC 27509-1668
Phone (919) 764-2000
Other practice location 1
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Other providers in Butner, NC
- Kendra Beth Corning
- Sarah Elisabeth Couch
- Emily Carter Cox
- Cheryl Lynn Crawford
- Jesse Brooke Creech
- Lou Ann Crume
- Alec Cunningham
- Krystal Renee Curtis
- Ashley Anna Cyr
- Farah Lindley Davis
All providers in Butner, NC · Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.