Stephanie L Matlock, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

6550 Issued in NC

Practice address

2100 Stantonsburg
Vidant Medical System Audiology
Greenville, NC 27834

Phone

(252) 847-5436

Fax

(252) 847-1301

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1538378104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ENGLISH OAK CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588421",
            "telephone_number": "252-847-5436",
            "fax_number": "252-847-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG",
            "address_2": "VIDANT MEDICAL SYSTEM AUDIOLOGY",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-847-5436",
            "fax_number": "252-847-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "6550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST",
            "identifier": "6550",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATE",
            "identifier": "12026680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paola Andreina Matheus, MD
• Emily Mathewson
• Thomas Muir Mathis IV, DO
• Dipti Chandra Mathur, D.D.S.
• Kevin A Matlock, CRNA
• Victoria Leigh Matlock
• Sarah Maton, LMFTA
• Katherine Lynn Matthew, SLP
• Dylan Patrick Matthews, MD
• Joanne M Matthews, MD

• Audiologist in Greenville, NC
• Providers in Greenville, NC by specialty
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.