Individual provider Active NPI

Chrishaunda Lakeish Vick, FNP-C

  • Family Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1003299561
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007728 Issued in NC
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

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5007728NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
Magnify Health PLLC CurrentSince Dec 14, 2025 Accepting new patients
HMV Diagnostics CurrentSince Aug 31, 2015 Accepting new patients
Unc Physicians Network LLC CurrentSince Nov 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.