STANLY REGIONAL MEDICAL CENTER (NPI# 1033134408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033134408 |
| Entity Type | Organization |
| Organization Name | STANLY REGIONAL MEDICAL CENTER |
| Practice Address |
313 Yadkin St Albemarle NC 28001-3441 |
| Mailing Address |
301 Yadkin St P.o. Box 1489 Albemarle NC 28001-3441 |
| Practice Telephone | 7049844595 |
| Practice Fax Number | 7049844132 |
| Mailing Telephone | 7049844595 |
| Mailing Fax Number | 7049844132 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PAMELA STEVENS WHITLEY (FNP/CWOCN) |
| Authorized Official Telephone | 7049844595 |
| Authorized Official Credential | MSN, CS-FNP, CWO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201510 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000232 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114106861 | Stanly Regional Medical Center | Durable Medical Equipment & Medical Supplies | 105 Yadkin St, Suite 103, Albemarle, NC 28001-3449 | 2007-10-30 |
| 1093830010 | Stanly Regional Medical Center | General Acute Care Hospital | 301 Yadkin St, Albemarle, NC 28001-3441 | 2007-03-20 |
| 1912053984 | Stanly Regional Medical Center | General Acute Care Hospital | 301 Yadkin St, Albemarle, NC 28001-3441 | 2007-01-25 |
| 1194871160 | Stanly Regional Medical Center | General Acute Care Hospital | 301 Yadkin St, Albemarle, NC 28001-3441 | 2007-01-25 |
| 1003962077 | Stanly Regional Medical Center | General Acute Care Hospital | 301 Yadkin St, Albemarle, NC 28001-3441 | 2007-01-25 |
| 1942365903 | Stanly Regional Medical Center | General Acute Care Hospital | 301 Yadkin St, Albemarle, NC 28001-3441 | 2006-12-27 |
| 1982769949 | Stanly Regional Medical Center | General Acute Care Hospital | 301 Yadkin St, Albemarle, NC 28001-3441 | 2006-12-27 |
| 1407911829 | Stanly Regional Medical Center | General Acute Care Hospital | 301 Yadkin St, Albemarle, NC 28001-3441 | 2006-12-26 |
| 1346320496 | Stanly Regional Medical Center | General Acute Care Hospital | 301 Yadkin St, Albemarle, NC 28001-3441 | 2006-10-16 |
| 1891756144 | Stanly Regional Medical Center | Rehabilitation Unit | 301 Yadkin St, Albemarle, NC 28001-3441 | 2006-03-28 |
| Street Address |
313 YADKIN ST |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199682 | Phyllis T. Kupsick | Nurse Practitioner | 313 Yadkin St, Albemarle, NC 28001-3441 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| Find all providers in zip 28001 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147818 | Rebecca Irby Dry | Nurse Practitioner | 1420 Us 52 N Ste G, Albemarle, NC 28001 | 2005-07-08 |
| 1760981666 | Kenneth Dennis | Nurse Practitioner | 703 Leonard Ave, Albemarle, NC 28001 | 2018-02-06 |
| 1043728660 | Holly Melton | Nurse Practitioner | 307 Yadkin St, Albemarle, NC 28001-3441 | 2018-01-17 |
| 1528597739 | Joshua Mowery | Nurse Practitioner | 301 Yadkin St, Albemarle, NC 28001-3441 | 2017-06-09 |
| 1194274100 | Justin Canter | Nurse Practitioner | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2016-10-03 |
| 1427408426 | David Joseph Liberto | Nurse Practitioner | 301 Yadkin St, Albemarle, NC 28001-3441 | 2016-06-21 |
| 1538530340 | Leticia Lopes | Nurse Practitioner | 301 Yadkin St, Albemarle, NC 28001-3441 | 2015-10-19 |
| 1386036390 | Ellen Snyder | Nurse Practitioner | 105 Yadkin St, Ste 301, Albemarle, NC 28001-3449 | 2015-02-27 |
| 1942617048 | Valerie Vang | Nurse Practitioner | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2014-07-21 |
| 1093065914 | Susan Thomas | Nurse Practitioner | 105 Yadkin St, Ste 303, Albemarle, NC 28001-3449 | 2012-09-18 |
| Find all providers in ALBEMARLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.