Active NPI
James F Stephens, MA CCCA
- Audiologist
- Fayetteville, NC
National Provider Identifier
1962430793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 438
- Practice address
- 2413 Robeson Street
Suite 2
Fayetteville, NC 28305 - Phone
- (910) 323-2616
- Fax
- (910) 323-9747
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 438 | NC | Primary |
Addresses
Primary practice location
2413 Robeson Street
Suite 2
Fayetteville, NC 28305
Mailing address
2413 Robeson Street
Suite 2
Fayetteville, NC 28305
Phone (910) 323-2616
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4630101 | Other | INDEPENDENT LIVING | |
| 79722 | Other | NC | BCBS |
| 4630101 | Other | VOC REHAB | |
| 747922 | Medicaid | NC | |
| 0184W | Other | NC | BCBS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 438 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962430793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 ROBESON STREET",
"address_2": "SUITE 2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28305",
"telephone_number": "910-323-2616",
"fax_number": "910-323-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 ROBESON STREET",
"address_2": "SUITE 2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28305",
"telephone_number": "910-323-2616",
"fax_number": "910-323-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "JAMES",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "MA CCCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT LIVING",
"identifier": "4630101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "79722",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VOC REHAB",
"identifier": "4630101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "747922",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0184W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.