Active NPI
Laura Knight Stewart, PSYD
- Clinical Psychologist
- Winston Salem, NC
National Provider Identifier
1528544350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5844
- Practice address
- 100 S Marshall St Ste 1
Winston Salem, NC 27101-2843 - Phone
- (364) 484-7733
- NPI assigned
- Jul 16, 2018
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS018286 | PA | |
| Clinical Psychologist | 103TC0700X | 5844 | NC | Primary |
Addresses
Primary practice location
100 S Marshall St Ste 1
Winston Salem, NC 27101-2843
Mailing address
100 S Marshall St Ste 1
Winston Salem, NC 27101-2843
Phone (336) 448-4773
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 |
|---|---|---|---|
| 5844 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1528544350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MARSHALL ST STE 1",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012843",
"telephone_number": "336-448-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MARSHALL ST STE 1",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012843",
"telephone_number": "364-484-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LAURA",
"middle_name": "KNIGHT",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018286",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.