Shamichael Flagg

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

091380 Issued in NC

Practice address

1520 Ivy Meadow Dr Apt 924
Charlotte, NC 28213-9035

Phone

(315) 876-4664

NPI assigned

Nov 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1376209528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 IVY MEADOW DR APT 924",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282139035",
            "telephone_number": "315-876-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 IVY MEADOW DR APT 924",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282139035",
            "telephone_number": "315-876-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGG",
        "first_name": "SHAMICHAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "330094",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "091380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "091380",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sflagg@thisisitnearme.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Business Email",
            "address_1": "1520 Ivy Meadow Dr Apt 924",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282139035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kalene Fix-Mastenbrook, O.D.
• Cheryl Fix, PA-C
• Courtney Nicole Flack, LCSWA
• Melissa Flack, FNP
• Artemus Flagg, PH. D.
• Kaleigh Flaker
• Leah Flanagan, MD
• Kendall Lane Flanigan, MD
• Alisha Ann Flannery, PA-C
• Lisa C Fleck, PA-C

• Licensed Practical Nurse in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.