Individual provider Active NPI

Lauren Ashley Stutts, PH.D.

  • Psychologist
  • Cornelius, NC
National Provider Identifier
1336420421
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4307 Issued in NC
Practice address
19423 Greentree Way
Cornelius, NC 28031-8859
Phone
(704) 303-8757
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4307 NC Primary

Addresses

Primary practice location

19423 Greentree Way
Cornelius, NC 28031-8859

Mailing address

19423 Greentree Way
Cornelius, NC 28031-8859
Phone (704) 303-8757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2022 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4307NCMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Psychological Services, P.C. Psychologist PastSince Aug 1, 2020 Accepting new patients
Genesis Rehabilitation Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1336420421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19423 GREENTREE WAY",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318859",
            "telephone_number": "704-303-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19423 GREENTREE WAY",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318859",
            "telephone_number": "704-303-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTTS",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.