Active NPI
Karen M Stiles, PH.D.
- Psychologist
- Winterville, NC
National Provider Identifier
1831406297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5299
- Practice address
- 108 W Fire Tower Rd
Winterville, NC 28590 - Phone
- (252) 744-4169
- NPI assigned
- Sep 8, 2010
- Last updated
- Jun 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY001897 | GA | |
| Psychologist | 103T00000X | 5299 | NC | Primary |
Addresses
Primary practice location
108 W Fire Tower Rd
Winterville, NC 28590
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other practice location 1
108 W Fire Tower Rd
Winterville, NC 28590
Phone (252) 744-4169
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q59446A | Other | NC | MEDICARE |
| 19ULY | Other | NC | BCBS OF NC |
| 1831406297 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY001897 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1831406297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W FIRE TOWER RD",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "28590",
"telephone_number": "252-744-4169"
}
],
"practiceLocations": [
{
"address_1": "108 W Fire Tower Rd",
"address_purpose": "LOCATION",
"city": "Winterville",
"state": "NC",
"postal_code": "28590",
"country_code": "US",
"telephone_number": "252-744-4169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILES",
"first_name": "KAREN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY001897",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Q59446A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19ULY",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831406297",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winterville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.