Active NPI
Lakeina Shelton
- Family Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1023978707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31068
- Practice address
- 5939 Reddman Rd
Charlotte, NC 28212-1654 - Phone
- (704) 703-6060
- NPI assigned
- Nov 14, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31068 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | 5024129 | NC |
Addresses
Primary practice location
5939 Reddman Rd
Charlotte, NC 28212-1654
Mailing address
242 Gastley Dr
Clinton, SC 29325-5311
Phone (864) 200-7203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3724 Wireless Dr
Greensboro, NC 27455-3312
Phone (336) 540-9991
5939 Reddman Rd
Charlotte, NC 28212-1654
Phone (704) 703-6060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5024129 | NC | MD | Family Nurse Practitioner |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lexington, NC
- NPI 1770337412
-
- Geriatric Medicine (Internal Medicine) Physician
- Lexington, NC
- NPI 1245813757
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1023978707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 GASTLEY DR",
"city": "CLINTON",
"state": "SC",
"postal_code": "293255311",
"telephone_number": "864-200-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5939 REDDMAN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282121654",
"telephone_number": "704-703-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "LAKEINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-14",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "31068",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5024129",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.