Active NPI
Lynnette Jo Stiles, RNC-IBCLC
- Registered Nurse
- Tuba City, AZ
National Provider Identifier
1982024154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 165443-30
- Practice address
- 167 North Main Street
Tuba City, AZ 86045-0600 - Phone
- (928) 283-2501
- Fax
- (928) 283-2677
- NPI assigned
- Apr 25, 2014
- Last updated
- May 29, 2014
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 165443-30 | WI | Primary |
| Registered Nurse | 163W00000X | 03-666262 | CT | |
| Registered Nurse | 163W00000X | 608203 | CA | |
| Registered Nurse | 163W00000X | RN9220737 | FL | |
| Registered Nurse | 163W00000X | 026.0028762 | VT | |
| Maternal Newborn Registered Nurse | 163WM0102X | R92090-2 | MN | |
| Maternal Newborn Registered Nurse | 163WM0102X | 14957 IBCLC | VA | |
| Inpatient Obstetric Registered Nurse | 163WX0003X | STI104300163 | AR | |
| Lactation Consultant (Non-RN) | 174N00000X | 196-13641 |
Addresses
Primary practice location
167 North Main Street
Tuba City, AZ 86045-0600
Mailing address
PO Box 600
PPS Business Office
Tuba City, AZ 86045-0600
Phone (928) 283-2781
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 608203 | CA | MD | Registered Nurse |
| 03-666262 | CT | MD | Registered Nurse |
| RN9220737 | FL | MD | Registered Nurse |
| 026.0028762 | VT | MD | Registered Nurse |
| 165443-30 | WI | MD | Registered Nurse |
| R92090-2 | MN | MD | Maternal Newborn Registered Nurse |
| 14957 IBCLC | VA | MD | Maternal Newborn Registered Nurse |
| STI104300163 | AR | MD | Inpatient Obstetric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1982024154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 600",
"address_2": "PPS BUSINESS OFFICE",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860450600",
"telephone_number": "928-283-2781",
"fax_number": "928-283-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 NORTH MAIN STREET",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860450600",
"telephone_number": "928-283-2501",
"fax_number": "928-283-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "LYNNETTE",
"middle_name": "JO",
"credential": "RNC-IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "165443-30",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "03-666262",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "608203",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9220737",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VT",
"license": "026.0028762",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "MN",
"license": "R92090-2",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "VA",
"license": "14957 IBCLC",
"primary": false
},
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "AR",
"license": "STI104300163",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "196-13641",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuba City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.