Active NPI
Virginia Stokes St. Ana, C.O., L.O.
- Orthotist
- North Little Rock, AR
National Provider Identifier
1396997151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- OPP00157
- Practice address
- 2200 Fort Roots Dr
BLDG 89 Room 101, Prosthetic Treatment Center
North Little Rock, AR 72114-1709 - Phone
- (501) 257-1600
- Fax
- (501) 257-1624
- NPI assigned
- Oct 10, 2008
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OPP00157 | AR | Primary |
Addresses
Primary practice location
2200 Fort Roots Dr
BLDG 89 Room 101, Prosthetic Treatment Center
North Little Rock, AR 72114-1709
Mailing address
2200 Fort Roots Dr
BLDG 89 Room 101, Prosthetic Treatment Center
North Little Rock, AR 72114-1709
Phone (501) 257-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO003046 | Other | AMERICAN BOARD FOR CERTIFIECATION IN ORTHOTICS AND PROSTHETICS, INC. | |
| OPP00157 | Other | AR | ARKANSAS STATE BOARD OF HEALTH |
Other names 1
- Ms. Virginia Carolyn Stokes
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 |
|---|---|---|---|
| OPP00157 | AR | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1396997151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 FORT ROOTS DR",
"address_2": "BLDG 89 ROOM 101, PROSTHETIC TREATMENT CENTER",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721141709",
"telephone_number": "501-257-1600",
"fax_number": "501-257-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 FORT ROOTS DR",
"address_2": "BLDG 89 ROOM 101, PROSTHETIC TREATMENT CENTER",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721141709",
"telephone_number": "501-257-1600",
"fax_number": "501-257-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. ANA",
"first_name": "VIRGINIA",
"middle_name": "STOKES",
"name_prefix": "Mrs.",
"credential": "C.O., L.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "AR",
"license": "OPP00157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD FOR CERTIFIECATION IN ORTHOTICS AND PROSTHETICS, INC.",
"identifier": "CO003046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS STATE BOARD OF HEALTH",
"identifier": "OPP00157",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "STOKES",
"middle_name": "CAROLYN",
"prefix": "MS.",
"credential": "C.O., L.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.