Individual provider Active NPI

Stephanie R Harmon

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1104494095
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
3126 Milton Rd Ste 217
Charlotte, NC 28215-3775
Phone
(704) 534-6380
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X FFM6309 NC
Transportation Broker 347E00000X NC
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3126 Milton Rd Ste 217
Charlotte, NC 28215-3775

Mailing address

2806 Reynolda Rd # 236
Winston Salem, NC 27106-3102
Phone (743) 444-2324

Other practice location 1

2806 Reynolda Rd # 236
Winston Salem, NC 27106-3102
Phone (743) 444-2324

Other identifiers 1

IdentifierTypeStateIssuer
852188700MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
FFM6309NCMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie R. Harmon, Inc. Community/Behavioral Health 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1104494095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 REYNOLDA RD # 236",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063102",
            "telephone_number": "743-444-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD STE 217",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153775",
            "telephone_number": "704-534-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2806 Reynolda Rd # 236",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063102",
            "country_code": "US",
            "telephone_number": "743-444-2324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMON",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NC",
            "license": "FFM6309",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852188700",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.