Active NPI
Lindsey Stack
- Occupational Therapist
- Supply, NC
National Provider Identifier
1619759446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16339
- Practice address
- 58 Physicians Dr NW Ste 106
Supply, NC 28462-4216 - Phone
- (910) 755-5437
- Fax
- (910) 755-6076
- NPI assigned
- Oct 17, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16339 | NC | Primary |
Addresses
Primary practice location
58 Physicians Dr NW Ste 106
Supply, NC 28462-4216
Mailing address
58 Physicians Dr NW Ste 106
Supply, NC 28462-4216
Phone (910) 755-5437
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 |
|---|---|---|---|
| 16339 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1619759446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PHYSICIANS DR NW STE 106",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624216",
"telephone_number": "910-755-5437",
"fax_number": "910-755-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PHYSICIANS DR NW STE 106",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624216",
"telephone_number": "910-755-5437",
"fax_number": "910-755-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACK",
"first_name": "LINDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "16339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Supply, NC
- South Atlantic Radiation Oncology, LLC
- Southern Cross Community Services, Inc (Southern Cross Mental Health Centers)
- Daniel B Spagnoli, DDS, MS, PHD
- Specialty Eye Care of the Carolinas, PC
- Kendra Spencer, LCSWA, LCASA
- Samantha Sudano, MSN, RN, PMHNP-BC
- Anna Elizabeth Emerson Susol, LCSWA
- Lindian J Swaim Jr., MD
- Amanda Evelyn Swiss, PA-C
- Lori Anne Tackman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.