Individual provider Active NPI

Laquinta Peeler Kee, PHMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1093324717
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019080923 Issued in NC
Practice address
703 S Lafayette St Unit 1
Shelby, NC 28150-5809
Phone
(704) 419-9772
Fax
(704) 419-2101
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 Registered Nurse 163WP0808X 2018079736 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019080923 NC Primary

Addresses

Primary practice location

703 S Lafayette St Unit 1
Shelby, NC 28150-5809

Mailing address

3016 Cedar Point Dr
Shelby, NC 28150-8116
Phone (980) 636-4015

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
I20201209000326 NC Practitioner - Nurse Practitioner 4486066800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 E Dixon Blvd
Suite 2
Shelby, NC 28152-6703
Phone (704) 419-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018079736NCMDPsychiatric/Mental Health Registered Nurse
2019080923NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Bridge to Healing, PLLC Psychiatric/Mental Health CurrentSince Sep 19, 2023 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Sep 20, 2022 Accepting new patients
Caromont Medical Group Inc CurrentSince Sep 20, 2022 Accepting new patients
Unique Psychiatric Care Solutions PLLC Psychiatric/Mental Health PastSince Dec 6, 2020 Accepting new patients

Locations

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1337 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 671-5313

112 E Dixon Blvd
Ste 2
Shelby, NC 28152
Phone (704) 419-9772

703 S Lafayette St
Unit 1
Shelby, NC 28150
Phone (704) 419-9772

703 S Lafayette St
Shelby, NC 28150

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1093324717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 CEDAR POINT DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281508116",
            "telephone_number": "980-636-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S LAFAYETTE ST UNIT 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505809",
            "telephone_number": "704-419-9772",
            "fax_number": "704-419-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEE",
        "first_name": "LAQUINTA",
        "middle_name": "PEELER",
        "credential": "PHMNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2018079736",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2019080923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.