Active NPI
Stacie Renee Walker
- Advanced Practice Midwife
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 617
- Practice address
- 4414 Lake Boone TRL Ste 311
Raleigh, NC 27607 - Phone
- (919) 351-8253
- NPI assigned
- Sep 6, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 617 | NC | Primary |
Addresses
Primary practice location
4414 Lake Boone TRL Ste 311
Raleigh, NC 27607
Mailing address
4414 Lake Boone TRL Ste 311
Raleigh, NC 27607-7514
Phone (919) 351-8253
Other practice location 1
1209 SE Industry Dr
Oxford, NC 27565-5023
Phone (252) 492-8576
Other practice location 2
4414 Lake Boone Trl Ste 402
Raleigh, NC 27607-7520
Phone (919) 567-6133
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swalker321335@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4414 Lake Boone TRL
Suite 402
Raleigh, NC 27607-7520
Phone (919) 567-6133
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 617 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of the Carolinas, PLLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| North Carolina MG, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Past | Accepting new patients |
Locations
511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
1209 SE Industry Dr
Oxford, NC 27565
Phone (252) 492-8576
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
11211 Galleria Ave
Ste 101
Raleigh, NC 27614
Phone (919) 567-6133
4414 Lake Boone Trl
Ste 311
Raleigh, NC 27607
Phone (919) 781-7450
4414 Lake Boone Trl
Ste 308
Raleigh, NC 27607
Phone (919) 781-7450
4414 Lake Boone Trl
Ste 402
Raleigh, NC 27607
Phone (919) 567-6133
1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632
Interoperability endpoints
- swalker321335@direct.unc.nchie.net
- walker@mwc.gwaydirect.com
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
- Obstetrics & Gynecology Physician
- Henderson, NC
- NPI 1821496753
-
- Physical Medicine & Rehabilitation Physician
- Henderson, NC
- NPI 1730466475
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1942757034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL STE 311",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077514",
"telephone_number": "919-351-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL STE 311",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27607",
"telephone_number": "919-351-8253"
}
],
"practiceLocations": [
{
"address_1": "1209 SE Industry Dr",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "NC",
"postal_code": "275655023",
"country_code": "US",
"telephone_number": "252-492-8576",
"fax_number": "252-492-7464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4414 Lake Boone Trl Ste 402",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276077520",
"country_code": "US",
"telephone_number": "919-567-6133",
"fax_number": "919-567-6134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "STACIE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "617",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swalker321335@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4414 Lake Boone Trl Ste 402",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077520",
"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 Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.