Shenikqua Morgan

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Practice address

108 S Haines St
Williamston, NC 27892-1543

Phone

(252) 325-1567

Fax

(252) 316-1129

NPI assigned

Sep 13, 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

Practice roles

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.

• Aubrey's Foundation Incorporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Williamston, NC
  • NPI 1801771548
  NPD Authorized official

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1255168332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S HAINES ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921543",
            "telephone_number": "252-325-1567",
            "fax_number": "252-316-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S HAINES ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921543",
            "telephone_number": "252-325-1567",
            "fax_number": "252-316-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SHENIKQUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Morris, LPCA
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• Patricia Lynette Nash, PA-C
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• Intellectual Disabilities Intermediate Care Facility in Williamston, NC
• Providers in Williamston, NC by specialty
• Intellectual Disabilities Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.