NPIMap

Organization Active NPI

PRN Medical Resource, PLLC

  • Speech-Language Pathologist
  • Hendersonville, NC
National Provider Identifier
1164468641
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
561817172 Issued in NC
Legal business name
PRN MEDICAL RESOURCE, PLLC
Practice address
828 Fleming St
Hendersonville, NC 28791-3540
Phone
(828) 693-8900
Fax
(828) 693-8880
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mrs. Debra D Stierwalt, MS, CCC-SLPNPI 1649294281
Title
Manager
Phone
(828) 693-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 561817172 NC Primary

Addresses

Primary practice location

828 Fleming St
Hendersonville, NC 28791-3540

Mailing address

828 Fleming St
Hendersonville, NC 28791-3540
Phone (828) 693-8900

Other identifiers 2

IdentifierTypeStateIssuer
0245KOtherNCBCBS PROVIDER NUMBER
720245KMedicaidNC

National Provider Directory

National Provider Directory

Locations

828 Fleming St
Hendersonville, NC 28791
Phone (828) 693-8900

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1164468641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 FLEMING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913540",
            "telephone_number": "828-693-8900",
            "fax_number": "828-693-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 FLEMING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913540",
            "telephone_number": "828-693-8900",
            "fax_number": "828-693-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN MEDICAL RESOURCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "STIERWALT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-693-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "561817172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0245K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720245K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.