Active NPI
Stacey Caroline Lunsford
- Occupational Therapist
- Yadkinville, NC
National Provider Identifier
1326782731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14859
- Practice address
- 901 W Main St
Yadkinville, NC 27055-7807 - Phone
- (855) 983-0488
- NPI assigned
- Apr 21, 2022
- Last updated
- Apr 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14859 | NC | Primary |
Addresses
Primary practice location
901 W Main St
Yadkinville, NC 27055-7807
Mailing address
138 Ridge Meadow Loop
Stony Point, NC 28678-9228
Phone (704) 881-3236
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14859 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1326782731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 RIDGE MEADOW LOOP",
"city": "STONY POINT",
"state": "NC",
"postal_code": "286789228",
"telephone_number": "704-881-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270557807",
"telephone_number": "855-983-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNSFORD",
"first_name": "STACEY",
"middle_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-21",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yadkinville, NC
- Holly Delayne Lewis
- Liberty Healthcare Group, LLC (Magnolias Over Yadkin)
- Liberty Healthcare Group, LLC (Yadkin Nursing Care Center)
- Polly Sue Lindsey, P.T.A.
- Mallory Beck Linville, M.A./CCC-SLP
- Lynn Strole CCSW LCSW
- Mary Katherine Taylor DDS PLLC (Virtue Dental Care)
- James Stuart McGrath, MD
- Rebecca Keener McKinnon, M.D.
- Sheena McNeill, LCAS-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.