Individual provider Active NPI

Stephanie Albracht Layne, DO

  • Pediatrics Physician
  • Asheville, NC
National Provider Identifier
1184086183
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2019-01496 Issued in NC
Practice address
5 Walden Ridge Dr
Asheville, NC 28803-8588
Phone
(828) 687-8709
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2019-01496 NC Primary

Addresses

Primary practice location

5 Walden Ridge Dr
Asheville, NC 28803-8588

Mailing address

5 Walden Ridge Dr
Asheville, NC 28803-8588
Phone (937) 430-6659

Other practice location 1

325 N State Of Franklin Rd
ETSU Physicians and Associates Pediatrics
Johnson City, TN 37604-6056
Phone (423) 439-7320

Other names 1

  • Stephanie Albracht Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723000416 TN Practitioner - Pediatric Medicine 0749683191 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4369TNMDDental Hygienist
2019-01496NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Education Assistance Corporation Pediatrics CurrentSince Aug 1, 2021 Accepting new patients
Blue Sky Pediatrics Asheville PA Pediatrics CurrentSince May 23, 2015 Accepting new patients

Locations

5 Walden Ridge Dr
Asheville, NC 28803
Phone (828) 687-8709

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

325 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 439-7280

Interoperability endpoints

  • Direct secure messaging: stephanielayne@bspa.allscriptsdirect.net

Organizations & group practices 2

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1184086183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WALDEN RIDGE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038588",
            "telephone_number": "937-430-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WALDEN RIDGE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038588",
            "telephone_number": "828-687-8709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N State Of Franklin Rd",
            "address_2": "ETSU Physicians and Associates Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046056",
            "country_code": "US",
            "telephone_number": "423-439-7320",
            "fax_number": "423-439-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "STEPHANIE",
        "middle_name": "ALBRACHT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2019-01496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ALBRACHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.