Active NPI
Andrea B Stoufer, RN
- Registered Nurse
- High Point, NC
National Provider Identifier
1801618673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 123607
- Practice address
- 4050 Piedmont Pkwy
High Point, NC 27265-9458 - Phone
- (336) 289-8648
- NPI assigned
- Oct 31, 2024
- 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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 213675 | AK | |
| Registered Nurse | 163W00000X | 95293670 | CA | |
| Registered Nurse | 163W00000X | 188972 | CT | |
| Registered Nurse | 163W00000X | RN200005961 | DC | |
| Registered Nurse | 163W00000X | 041522195 | IL | |
| Registered Nurse | 163W00000X | RN2362150 | MA | |
| Registered Nurse | 163W00000X | 4704386194 | MI | |
| Registered Nurse | 163W00000X | 2496660 | MN | |
| Registered Nurse | 163W00000X | 850545 | NV | |
| Registered Nurse | 163W00000X | 880294 | NY | |
| Registered Nurse | 163W00000X | 202202612RN | OR | |
| Registered Nurse | 163W00000X | RN755870 | PA | |
| Registered Nurse | 163W00000X | 123607 | NC | Primary |
Addresses
Primary practice location
4050 Piedmont Pkwy
High Point, NC 27265-9458
Mailing address
4050 Piedmont Pkwy
High Point, NC 27265-9458
Phone (336) 289-8648
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213675 | AK | MD | Registered Nurse |
| 95293670 | CA | MD | Registered Nurse |
| 188972 | CT | MD | Registered Nurse |
| RN200005961 | DC | MD | Registered Nurse |
| 041522195 | IL | MD | Registered Nurse |
| RN2362150 | MA | MD | Registered Nurse |
| 4704386194 | MI | MD | Registered Nurse |
| 2496660 | MN | MD | Registered Nurse |
| 123607 | NC | MD | Registered Nurse |
| 850545 | NV | MD | Registered Nurse |
| 880294 | NY | MD | Registered Nurse |
| 202202612RN | OR | MD | Registered Nurse |
| RN755870 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Health Management, Inc. | Current | Accepting new patients |
Locations
4050 Piedmont Pkwy
High Point, NC 27265
Phone (336) 289-8648
Organizations & group practices 1
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.
-
- Case Management Agency
- High Point, NC
- NPI 1700516630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1801618673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 PIEDMONT PKWY",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272659458",
"telephone_number": "336-289-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 PIEDMONT PKWY",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272659458",
"telephone_number": "336-289-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUFER",
"first_name": "ANDREA",
"middle_name": "B",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-31",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "213675",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95293670",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "188972",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN200005961",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041522195",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2362150",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704386194",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2496660",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "850545",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "880294",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "202202612RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN755870",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "123607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.