Stacy Ann Iles
Individual provider Active NPI Community Health Worker · Byron, MI
NPI 1124935135 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1124935135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 14325 Barnes Rd
Byron, MI 48418-9738 - Phone
- (810) 730-4508
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
14325 Barnes Rd
Byron, MI 48418-9738
Mailing address
14325 Barnes Rd
Byron, MI 48418-9738
Phone (818) 730-4508
Other providers in Byron, MI
- Julie Bowers
- Byron Area Ambulance Service,Inc
- Tricia Giroux
- Patricia Kay Gulick
- Sarah Housholder
- Steven Schmidt
- Jody Lynn Wilfong
- Jodie Ann Woodworth
All providers in Byron, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.