SHELLY POPHAM STILES APRN NPI 1922318484

NPI Information

NPI: 1922318484
Provider Name: SHELLY POPHAM STILES, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207
Phone: (502) 855-7200
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Shelly Popham Stiles, APRN is a family nurse practitioner in Louisville, KY with 14 years of experience. Shelly Popham Stiles, APRN NPI is 1922318484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207-201
Phone: (502) 855-7200
Fax: (502) 855-7201

The NPI 1922318484 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 10/18/2010 and was last updated on 1/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3006663	KENTUCKY	Yes
2	363LF0000X	Nurse Practitioner	Family	71003523A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1890913	OTHER		HUMANA PROVIDER ID NUMBER
2	4315911	OTHER		CIGNA PROVIDER ID NUMBER
3	7100145300	MEDICAID	KENTUCKY
4	93601KYIP	OTHER	KENTUCKY	AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
5	000001401850	OTHER		ANTHEM PROVIDER ID NUMBER
6	121043	OTHER		SIHO PROVIDER ID NUMBER
7	2254146	OTHER	KENTUCKY	WELLCARE OF KENTUCKY PROVIDER ID NUMBER
8	300027468	MEDICAID	INDIANA
9	CS2026700142	OTHER		CARESOURCE PROVIDER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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