Active NPI
Emily Barker Stallard, NP-C
- Acute Care Nurse Practitioner
- Gastonia, NC
National Provider Identifier
1205232337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 268727
- Practice address
- 1021 X Ray Dr
Gastonia, NC 28054-7489 - Phone
- (704) 867-2341
- Fax
- (704) 867-9019
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 5007310 | NC | |
| Acute Care Nurse Practitioner | 363LA2100X | 268727 | NC | Primary |
Addresses
Primary practice location
1021 X Ray Dr
Gastonia, NC 28054-7489
Mailing address
1021 X Ray Dr
Gastonia, NC 28054-7489
Phone (704) 867-2341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268727 | NC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastonia Medical Specialty Clinic PA | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Past | Accepting new patients |
Locations
1021 X Ray Dr
Gastonia, NC 28054
Phone (704) 867-2341
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61582
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.
-
- Internal Medicine Physician
- Gastonia, NC
- NPI 1023048279
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1205232337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547489",
"telephone_number": "704-867-2341",
"fax_number": "704-867-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547489",
"telephone_number": "704-867-2341",
"fax_number": "704-867-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLARD",
"first_name": "EMILY",
"middle_name": "BARKER",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "5007310",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "268727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.