Audrey L. Stewart, L.AC.

Individual provider Active NPI Respiratory/Developmental/Rehabilitative Specialist/Technologist · Mathews, VA

NPI 1942527288 · NPPES record last updated May 23, 2016

Key facts

NPI
1942527288
Entity type
Individual (NPI type 1)
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X
License
0121000563 (VA)
Practice address
28 Church Street
Mathews, VA 23109-1460
Phone
(804) 725-9001
Fax
(804) 725-9005
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0121000563VAMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
5 Star Oriental Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 0121000563 VA Yes

Addresses

Primary practice location

28 Church Street
Mathews, VA 23109-1460

Mailing address

PO Box 1460
Mathews, VA 23109-1460
Phone (804) 725-9001

Other providers in Mathews, VA

All providers in Mathews, VA · Respiratory/Developmental/Rehabilitative Specialist/Technologist in Virginia

Sources for this page

Verify at the official NPI Registry.