Active NPI
Stefanie Jo Mansfield, LAT, ATC
- Athletic Trainer
- Pinehurst, NC
National Provider Identifier
1427403047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2807
- Practice address
- 5 First Village Dr
Pinehurst, NC 28374-9495 - Phone
- (910) 295-6831
- NPI assigned
- May 2, 2016
- Last updated
- May 2, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2807 | NC | Primary |
Addresses
Primary practice location
5 First Village Dr
Pinehurst, NC 28374-9495
Mailing address
75 Forestdale Dr
Cameron, NC 28326-8850
Phone (757) 375-2475
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 |
|---|---|---|---|
| 2807 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1427403047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FORESTDALE DR",
"city": "CAMERON",
"state": "NC",
"postal_code": "283268850",
"telephone_number": "757-375-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FIRST VILLAGE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749495",
"telephone_number": "910-295-6831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD",
"first_name": "STEFANIE",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
- William Mang, PHARMD
- Elizabeth Manley, RNCS
- Venkata Sivanaga Prasad Mannava, MD
- David Manning, PA-C
- Manor Care of Pinehurst NC LLC (ManorCare Health Services - Pinehurst)
- Candace Renea Mansueto, QBA, LBA, IBA
- Matthew T Manzo, DO
- Joan Alberto Maradey, MD
- Stacy Leigh Murphy Marcum, PA-C
- Allison Barbara Marengo, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.