Individual provider Active NPI

Shalina Stiles Little, FNP-BC

  • Family Nurse Practitioner
  • Aurora, NC
National Provider Identifier
1760133581
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015600 Issued in NC
Practice address
151 3Rd St
Aurora, NC 27806-9088
Phone
(252) 322-4021
NPI assigned
Jan 13, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015600 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220327000020 NC Practitioner - Nurse Practitioner 0345635454 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5015600NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Feb 28, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 7, 2022 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1760133581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HOLLIS RD",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629116",
            "telephone_number": "252-531-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 3RD ST",
            "city": "AURORA",
            "state": "NC",
            "postal_code": "278069088",
            "telephone_number": "252-322-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Bragaw Ln",
            "address_purpose": "LOCATION",
            "city": "Chocowinity",
            "state": "NC",
            "postal_code": "278178415",
            "country_code": "US",
            "telephone_number": "252-946-9562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "SHALINA",
        "middle_name": "STILES",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, NC

Sources for this page

Verify at the official NPI Registry.