Active NPI
Quantayjia Shanay Wilford
- Nurse Practitioner
- Louisburg, NC
National Provider Identifier
1467388348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5025004
- Practice address
- 202 Smoketree Way
Louisburg, NC 27549-2165 - Phone
- (919) 496-2188
- NPI assigned
- Jun 19, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5025004 | NC | Primary |
Addresses
Primary practice location
202 Smoketree Way
Louisburg, NC 27549-2165
Mailing address
932 Green Gable Dr
Zebulon, NC 27597-4436
Phone (252) 661-0964
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1467388348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 GREEN GABLE DR",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275974436",
"telephone_number": "252-661-0964",
"fax_number": "252-661-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 SMOKETREE WAY",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492165",
"telephone_number": "919-496-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILFORD",
"first_name": "QUANTAYJIA",
"middle_name": "SHANAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-19",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5025004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.