Joanne D Liles, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201471 Issued in NC

Practice address

1057 Cedar Point Blvd
Unit D
Cedar Point, NC 28584-8020

Phone

(252) 764-2121

Fax

(252) 764-2135

NPI assigned

Jun 1, 2006

Last updated

Oct 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cape Carteret Family Medicine PA

  • Family Nurse Practitioner
  • Cedar Point, NC
  • NPI 1912042920
  Authorized official Same address or phone
• Impact Healthcare, P.a.

  dba Impact Primary and Urgent Care

  • Family Medicine Physician
  • Louisburg, NC
  • NPI 1124537246
  NPD (past)
• Swansboro Family Medicine

  • Specialist
  • Swansboro, NC
  • NPI 1346287612
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1114964087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 CEDAR POINT BLVD",
            "address_2": "UNIT D",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848020",
            "telephone_number": "252-764-2121",
            "fax_number": "252-764-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 CEDAR POINT BLVD",
            "address_2": "UNIT D",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848020",
            "telephone_number": "252-764-2121",
            "fax_number": "252-764-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "JOANNE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003903",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8530",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Kay Hunsinger
• Jarrett Darrah, D.D.S., PLLC (Anchor Dental)
• Kidmed PLLC
• Steven Michael Kriss, D.O.
• Alexandra V Leewright, MPT
• John Thomas Manning, NP
• Leigh Anne Maples, PT
• Lisa M Marino
• Jeri Allison McCarson, DNP, CNM
• McLaughlin Chiropractic Center Cedar Point, PLLC

• Nurse Practitioner in Cedar Point, NC
• Providers in Cedar Point, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.