Individual provider Active NPI

Stephanie Dickens Dunlow, NP

  • Nurse Practitioner
  • Roanoke Rapids, NC
National Provider Identifier
1689058265
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007774 Issued in NC
Practice address
63 Office Park Dr
Roanoke Rapids, NC 27870-4940
Phone
(252) 535-4343
Fax
(252) 308-0977
NPI assigned
Jul 14, 2015
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173291 VA
Nurse Practitioner 363L00000X 5007774 NC Primary

Addresses

Primary practice location

63 Office Park Dr
Roanoke Rapids, NC 27870-4940

Mailing address

63 Office Park Dr
Roanoke Rapids, NC 27870-4940
Phone (252) 535-4343

Other practice location 1

727 N Main St
Emporia, VA 23847-1274
Phone (434) 348-4427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929000410 NC Practitioner - Nurse Practitioner 0042528879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007774NCMDNurse Practitioner
0024173291VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jul 7, 2022 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

244 Smith Church Rd
Bldg 5
Roanoke Rapids, NC 27870
Phone (252) 535-1800

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1689058265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 OFFICE PARK DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704940",
            "telephone_number": "252-535-4343",
            "fax_number": "252-308-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 OFFICE PARK DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704940",
            "telephone_number": "252-535-4343",
            "fax_number": "252-308-0977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 N Main St",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238471274",
            "country_code": "US",
            "telephone_number": "434-348-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLOW",
        "first_name": "STEPHANIE",
        "middle_name": "DICKENS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173291",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.