Individual provider Active NPI

Stephanie J. Woelfle, NP

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1811089378
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201074 Issued in NC
Practice address
5407 Sky Lane Dr
Durham, NC 27704-3953
Phone
(919) 219-8546
Fax
(919) 687-7649
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN157758 NC
Nurse Practitioner 363L00000X 201074 NC Primary

Addresses

Primary practice location

5407 Sky Lane Dr
Durham, NC 27704-3953

Mailing address

8146 Townley Rd
Huntersville, NC 28078-8080
Phone (704) 488-5811

Other identifiers 2

IdentifierTypeStateIssuer
P00213558OtherNCRR MEDICARE # - PARADIGM
7000246MedicaidNC

Other names 1

  • Stephanie J Devine Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN157758NCMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1811089378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8146 TOWNLEY RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788080",
            "telephone_number": "704-488-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 SKY LANE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043953",
            "telephone_number": "919-219-8546",
            "fax_number": "919-687-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOELFLE",
        "first_name": "STEPHANIE",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "RN157758",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE # - PARADIGM",
            "identifier": "P00213558",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DEVINE",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.