Shawnette Latrice Cruz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5018189 Issued in NC

Practice address

1701 Pinecroft Rd
Greensboro, NC 27407-3876

Phone

(743) 557-6945

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Moses H Cone Memorial Hospital Operating Corporation

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1356372064
  Medicare reassignment NPD
• The Moses H Cone Memorial Hospital Operating Corporation

  • Community/Retail Pharmacy
  • Eden, NC
  • NPI 1861222507
  NPD

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1225725898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5938 JULIAN AIRPORT RD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "27298",
            "telephone_number": "908-347-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PINECROFT RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073876",
            "telephone_number": "743-557-6945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 N Church St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011035",
            "country_code": "US",
            "telephone_number": "336-663-4900",
            "fax_number": "336-663-4920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5938 Julian Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NC",
            "postal_code": "27298",
            "country_code": "US",
            "telephone_number": "908-347-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "SHAWNETTE",
        "middle_name": "LATRICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018189",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NC",
            "license": "320561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Crutchfield, LCSW
• Rebecca Crutchfield, MED., CCC-SLP
• Jeronimo Manuel Cruz-Reyes, RN
• Juan Cruz-V
• Rikki Cruz, LCSW
• Crystal Clear Speech and Language Services
• Crystal E. Nickerson
• Crystal E.Nickerson, LLC
• Matthew Cuddington, M.A., CCC-SLP
• Meghan Lendry Culbertson

• Family Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.