Shanice L Mattocks

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

143 Big Papa LN
Pollocksville, NC 28573-9207

Phone

(910) 554-5642

NPI assigned

Oct 29, 2026

Last updated

Oct 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1053219071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BIG PAPA LN",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285739207",
            "telephone_number": "910-554-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 BIG PAPA LN",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285739207",
            "telephone_number": "910-554-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOCKS",
        "first_name": "SHANICE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Pandelidis Kaufman, MD
• Justin Kleinman
• Melanie A Lewis, FNP
• Joseph Anthony Marcantel, ARNP
• Kathy Ann Marks, M.D.
• Kacia Kristin McCaghren Bray, PH.D., CCC-SLP
• Gerard M McPhee, MD
• Mark B Moeller, MD
• Wendy P Moeller, MD
• Melba R Perry

• Health & Wellness Coach in Pollocksville, NC
• Providers in Pollocksville, NC by specialty
• Health & Wellness Coach in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.