Active NPI
Stephanie Snyder Humphrey, COTA/L
- Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1205192549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5484
- Practice address
- 2000 Salemtowne Dr
Winston Salem, NC 27106-3488 - Phone
- (336) 776-2300
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5484 | NC | Primary |
Addresses
Primary practice location
2000 Salemtowne Dr
Winston Salem, NC 27106-3488
Mailing address
381 Carriage Trace LN
Lexington, NC 27295-5372
Phone (336) 853-7146
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5484 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1205192549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 CARRIAGE TRACE LN",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272955372",
"telephone_number": "336-853-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SALEMTOWNE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063488",
"telephone_number": "336-776-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "STEPHANIE",
"middle_name": "SNYDER",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.