Shalina Stiles Little, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Aurora, NC
NPI 1760133581 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1760133581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5015600 (NC)
- Practice address
- 151 3Rd St
Aurora, NC 27806-9088 - Phone
- (252) 322-4021
- NPI assigned
- Jan 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220327000020 | NC | Practitioner - Nurse Practitioner | 0345635454 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5015600 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients |
Locations
151 3rd St
Aurora, NC 27806
Phone (252) 322-4021
740 Bragaw Ln
Chocowinity, NC 27817
Phone (252) 946-9562
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5015600 | NC | Yes |
Addresses
Primary practice location
151 3Rd St
Aurora, NC 27806-9088
Mailing address
235 Hollis Rd
Plymouth, NC 27962-9116
Phone (252) 531-4921
Other practice location 1
740 Bragaw Ln
Chocowinity, NC 27817-8415
Phone (252) 946-9562
Other providers in Aurora, NC
- Aurora Rescue Squad, Inc.
- Beaufort Regional Physicians, LLC
- Bryant'S Independent Home Care LLC
- John C Callahan
- CNC/Access, Inc.
- Metropolitan Community Health Services, Inc.
- O Neals Drug Store of Snow Hill
- Judy R. Rafson
- Restored Outlook Counseling PLLC
- Whitney Lewis Runge
All providers in Aurora, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.