Shuntrickia Necole Taylor, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5019795 Issued in NC

Practice address

7261 Pebblebrook Dr
Fayetteville, NC 28314-5233

Phone

(910) 977-4770

NPI assigned

Mar 25, 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

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1245080316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 PEBBLEBROOK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145233",
            "telephone_number": "910-977-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 PEBBLEBROOK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145233",
            "telephone_number": "910-977-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHUNTRICKIA",
        "middle_name": "NECOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura H. Taylor, LCSW
• Mary Catherine Taylor, LPN
• Natasha Cherry-Ann Taylor, RN, BSN
• Sarah Elizabeth Taylor, RBT
• Sharon Taylor, CRNA
• Sierra M Taylor, PHARMD
• Timothy Taylor
• Tracy Lynn Taylor
• Vanessa Henderson Taylor, BS, RRT, RCP
• TBH Home Healthcare

• Psychiatric/Mental Health Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.