Keisha Lashawn Speller-Person

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

186914 Issued in NC

Practice address

2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001

Phone

(910) 396-4307

NPI assigned

Oct 2, 2024

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

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1225856750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-396-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLER-PERSON",
        "first_name": "KEISHA",
        "middle_name": "LASHAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "186914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "568946544",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "5874",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords",
            "affiliation": "N",
            "address_1": "2817 Rock Merritt Ave",
            "city": "Fort Liberty",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283100001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maxwell R Sirkin, M.D.
• Stephanie Katherine Skelly, MD
• Lantz Smith
• Tamekia Smith X, BSN, RN
• Kaliah Amari' Sparrow, PA-C
• Mark Allen Staal, PH.D
• Alice Margaret Stewart, MA, ATR-BC
• James D Stillwell, PA-C
• George William Stone, M.D.
• Jeffrey Dean Strong, LCSW, LCAS, CCS

• Case Management Registered Nurse in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Case Management Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.