Active NPI
Shara Lisette Laccone
- Child & Adolescent Psychiatry Physician
- Chapel Hill, NC
National Provider Identifier
1316545585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 5013447
- Practice address
- 117 Hidden Valley Dr
Chapel Hill, NC 27516-8949 - Phone
- (912) 882-9293
- NPI assigned
- Oct 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 5013447 | NC | Primary |
Addresses
Primary practice location
117 Hidden Valley Dr
Chapel Hill, NC 27516-8949
Mailing address
488 Beacon Ridge Blvd
Chapel Hill, NC 27516-9820
Phone (912) 882-9293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5013447 | NC | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602374400000",
"number": "1316545585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 BEACON RIDGE BLVD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275169820",
"telephone_number": "912-882-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 HIDDEN VALLEY DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275168949",
"telephone_number": "912-882-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACCONE",
"first_name": "SHARA",
"middle_name": "LISETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-11",
"last_updated": "2020-10-11",
"certification_date": "2020-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "5013447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.