Individual provider Active NPI

Stacee Christine Thornton, CMF

  • Orthotic Fitter
  • Durham, NC
National Provider Identifier
1902137995
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
C46877 Issued in NC
Practice address
105 Newsom St Ste 105
Durham, NC 27704-2197
Phone
(919) 471-9891
Fax
(919) 477-1235
NPI assigned
Jan 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X C46877 NC Primary

Addresses

Primary practice location

105 Newsom St Ste 105
Durham, NC 27704-2197

Mailing address

105 Newsom St Ste 105
Durham, NC 27704-2197
Phone (919) 471-9891

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

State licenses

LicenseStateTypeSpecialty
C46877NCMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hanger Prosthetics & Orthotics East Inc PastSince Jul 1, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1902137995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWSOM ST STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042197",
            "telephone_number": "919-471-9891",
            "fax_number": "919-477-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEWSOM ST STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042197",
            "telephone_number": "919-471-9891",
            "fax_number": "919-477-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "STACEE",
        "middle_name": "CHRISTINE",
        "credential": "CMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "C46877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 29, 2010; 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.