Individual provider Active NPI

Lauren Joan Stephenson, ATC

  • Athletic Trainer
  • Chapel Hill, NC
National Provider Identifier
1164610234
Registry record updated Oct 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1394 Issued in NC
Practice address
320 Emergency Room Dr
CB#7470
Chapel Hill, NC 27599-5040
Phone
(919) 966-6548
Fax
(919) 843-4771
NPI assigned
Oct 14, 2007
Last updated
Oct 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1394 NC Primary

Addresses

Primary practice location

320 Emergency Room Dr
CB#7470
Chapel Hill, NC 27599-5040

Mailing address

320 Emergency Room Dr
CB#7470
Chapel Hill, NC 27599-5035
Phone (919) 966-6548

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
1394NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1192320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192320000000",
    "number": "1164610234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EMERGENCY ROOM DR",
            "address_2": "CB#7470",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275995035",
            "telephone_number": "919-966-6548",
            "fax_number": "919-843-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EMERGENCY ROOM DR",
            "address_2": "CB#7470",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275995040",
            "telephone_number": "919-966-6548",
            "fax_number": "919-843-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "LAUREN",
        "middle_name": "JOAN",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-14",
        "last_updated": "2007-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; 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.