Active NPI
Kara E Stiles, ANP
- Adult Health Nurse Practitioner
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- CNP-02908
- Practice address
- 3617 S Pacific Hwy
Medford, OR 97501-8957 - Phone
- (541) 535-6239
- Fax
- (541) 512-1029
- NPI assigned
- Jul 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-83725 | NM | |
| Adult Health Nurse Practitioner | 363LA2200X | CNP-02908 | NM | Primary |
Addresses
Primary practice location
3617 S Pacific Hwy
Medford, OR 97501-8957
Mailing address
5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Phone (505) 262-2481
Other practice location 1
730 Saint Michaels Dr Ste 4B
Santa Fe, NM 87505-7606
Phone (505) 982-3684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23454318 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-83725 | NM | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Organizations & group practices 4
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba UNM Truman Health Services Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1700199478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 ZUNI RD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082926",
"telephone_number": "505-262-2481",
"fax_number": "505-265-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 S PACIFIC HWY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975018957",
"telephone_number": "541-535-6239",
"fax_number": "541-512-1029"
}
],
"practiceLocations": [
{
"address_1": "730 Saint Michaels Dr Ste 4B",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875057606",
"country_code": "US",
"telephone_number": "505-982-3684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILES",
"first_name": "KARA",
"middle_name": "E",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-83725",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NM",
"license": "CNP-02908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23454318",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.