Individual provider Active NPI

Lori Durham Stiegemeier, D.O

  • Pediatrics Physician
  • Wake Forest, NC
National Provider Identifier
1699090159
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00918 Issued in NC
Practice address
1655 Wake Dr Unit 101
Wake Forest, NC 27587-4746
Phone
(919) 556-4779
NPI assigned
Mar 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 00918 NC Primary

Addresses

Primary practice location

1655 Wake Dr Unit 101
Wake Forest, NC 27587-4746

Mailing address

1655 Wake Dr Unit 101
Wake Forest, NC 27587-4746
Phone (919) 556-4779

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151121000251 NC Practitioner - Pediatric Medicine 7315247426 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
00918NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC Pediatrics CurrentSince Aug 23, 2021 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Wake Specialty Physicians, LLC Pediatrics CurrentSince Aug 23, 2021 Accepting new patients
Wake Specialty Physicians, LLC Pediatrics Current Accepting new patients

Locations

204 Medspring Dr
Clayton, NC 27520
Phone (910) 775-3130

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3116 N Duke St
Durham, NC 27704
Phone (919) 620-5333

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10211 Alm St
Ste 200
Raleigh, NC 27617
Phone (919) 307-0301

Interoperability endpoints

  • Direct secure messaging: lstiegemeier607036@direct.medicine.duke.edu

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1699090159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 WAKE DR UNIT 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874746",
            "telephone_number": "919-556-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 WAKE DR UNIT 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874746",
            "telephone_number": "919-556-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEGEMEIER",
        "first_name": "LORI",
        "middle_name": "DURHAM",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-28",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "00918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.