Active NPI
Lauren Ashley Stutts, PH.D.
- Psychologist
- Cornelius, NC
National Provider Identifier
1336420421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4307
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4307 | NC | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Psychological Services, P.C. | Psychologist | Past | 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.
-
- Psychologist
- Cornelius, NC
- NPI 1538483441
-
dba Brooks Rehabilitation
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.