Individual provider Active NPI

Sherrie L. Stapleton, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1811223084
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12084 Issued in NC
Practice address
10208 Cerny St Ste 301
Raleigh, NC 27617-1000
Phone
(919) 354-7077
Fax
(919) 354-7075
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12084 NC Primary
Medical Physician Assistant 363AM0700X PA11208 TX

Addresses

Primary practice location

10208 Cerny St Ste 301
Raleigh, NC 27617-1000

Mailing address

10208 Cerny St Ste 301
Raleigh, NC 27617-1000
Phone (919) 354-7077

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@lifestylemedicalcenters.com Direct RTP Healthy Wellness, PLLC

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Children'S and Multispecialty Clinic, PA PastSince Jun 12, 2022 Accepting new patients
Amm Healthcare, PA PastSince Jun 12, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1811223084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 CERNY ST STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171000",
            "telephone_number": "919-354-7077",
            "fax_number": "919-354-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 CERNY ST STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171000",
            "telephone_number": "919-354-7077",
            "fax_number": "919-354-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "SHERRIE",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12084",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA11208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lifestylemedicalcenters.com",
            "affiliation": "Y",
            "endpointDescription": "Direct",
            "affiliationName": "RTP Healthy Wellness, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10208 Cerny St Ste 301",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276171000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.