Jackie Diane Stegall, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

11026 Asbury Chapel Rd
Huntersville, NC 28078-4625

Phone

(704) 575-4222

NPI assigned

Feb 16, 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 names 1

• Mrs. Jackie Diane Stegall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Speech Techniques, PA

  • Speech-Language Pathologist
  • Huntersville, NC
  • NPI 1437341666
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1780728410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11026 ASBURY CHAPEL RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784625",
            "telephone_number": "704-575-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11026 ASBURY CHAPEL RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784625",
            "telephone_number": "704-575-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGALL",
        "first_name": "JACKIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "STEGALL",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Earl Stanton III, M.D.
• Dorothy Elizabeth Starr, PA
• Eric William Starr, PA-C
• Stephany L Steen, FNP-BC, FNP-C
• Regina V Stefic, P.A.
• Kevin Steinhaus, DC
• Beth E. Stephani
• Stephen a. Rendulich, DDS, PA
• Tiona Kimisha Stephens, M.D.
• Krista Stephenson

• Pediatric Occupational Therapist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.