Active NPI
Janice Whiting Stump, NP
- Family Nurse Practitioner
- Wilson, NC
National Provider Identifier
1487623005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201164
- Practice address
- 114 Brentwood Center LN N
Wilson, NC 27896-1710 - Phone
- (252) 237-1610
- Fax
- (252) 237-1630
- NPI assigned
- Mar 16, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201164 | NC | Primary |
Addresses
Primary practice location
114 Brentwood Center LN N
Wilson, NC 27896-1710
Mailing address
114 Brentwood Center LN N
Wilson, NC 27896-1710
Phone (252) 237-1610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000916 | Medicaid | NC | |
| 018JF | Other | NC | BCBS |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201164 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1487623005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 BRENTWOOD CENTER LN N",
"city": "WILSON",
"state": "NC",
"postal_code": "278961710",
"telephone_number": "252-237-1610",
"fax_number": "252-237-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 BRENTWOOD CENTER LN N",
"city": "WILSON",
"state": "NC",
"postal_code": "278961710",
"telephone_number": "252-237-1610",
"fax_number": "252-237-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "JANICE",
"middle_name": "WHITING",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000916",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "018JF",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.