Active NPI
Chrishaunda Lakeish Vick, FNP-C
- Family Nurse Practitioner
- Goldsboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5007728
- Practice address
- 2803 Medical Campus Dr
Sjafb
Goldsboro, NC 27531-2310 - Phone
- (919) 722-1509
- NPI assigned
- Jul 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5007728 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5007728 | NC | Primary |
Addresses
Primary practice location
2803 Medical Campus Dr
Sjafb
Goldsboro, NC 27531-2310
Mailing address
8390 Six Forks Rd Ste 204
Raleigh, NC 27615-3060
Phone (984) 298-0087
Other practice location 1
8390 Six Forks Rd Ste 204
Raleigh, NC 27615-3060
Phone (984) 298-0087
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151016001925 | NC | Practitioner - Nurse Practitioner | 6002125879 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 Perimeter Park Dr
Suite 200
Morrisville, NC 27560-0198
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007728 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Magnify Health PLLC | Current | Accepting new patients | |
| HMV Diagnostics | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Hope Restorative Solutions | Past | Accepting new patients |
Locations
2435 US Highway 19
Ste 300
Holiday, FL 34691
Phone (727) 940-5908
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
4680 US Highway 117 N
Pikeville, NC 27863
Phone (919) 587-3400
8390 Six Forks Rd
Ste 204
Raleigh, NC 27615
Phone (984) 298-0087
Interoperability endpoints
- cvick138407@direct.unc.nchie.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Raleigh, NC
- NPI 1215741863
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- Clinic/Center
- Holiday, FL
- NPI 1043460744
-
- Adult Mental Health Clinic/Center
- Wake Forest, NC
- NPI 1871176529
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1003299561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 SIX FORKS RD STE 204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153060",
"telephone_number": "984-298-0087",
"fax_number": "919-882-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 MEDICAL CAMPUS DR",
"address_2": "SJAFB",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275312310",
"telephone_number": "919-722-1509"
}
],
"practiceLocations": [
{
"address_1": "8390 Six Forks Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276153060",
"country_code": "US",
"telephone_number": "984-298-0087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VICK",
"first_name": "CHRISHAUNDA",
"middle_name": "LAKEISH",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5007728",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.