Individual provider Active NPI

Lekeishia Michelle Staton, CPNP-PC

  • Pediatric Nurse Practitioner
  • High Point, NC
National Provider Identifier
1467939116
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
PENDING Issued in NC
Practice address
1814 Westchester Dr Ste 203
High Point, NC 27262
Phone
(336) 802-2201
NPI assigned
Jul 25, 2018
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X PENDING NC Primary

Addresses

Primary practice location

1814 Westchester Dr Ste 203
High Point, NC 27262

Mailing address

624 Quaker LN Ste 200D
High Point, NC 27262-3800
Phone (336) 878-6101

Other practice location 1

1814 Westchester Dr Ste 203
High Point, NC 27262-7369
Phone (336) 802-2201

Other practice location 2

1814 Westchester Dr Ste 203
High Point, NC 27262-7369
Phone (336) 802-2201

Other practice location 3

4515 Premier Dr Ste 203
High Point, NC 27265-8356
Phone (336) 802-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620003203 NC Practitioner - Nurse Practitioner 1456894203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGNCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince May 3, 2024 Accepting new patients
Wake Forest Health Network, LLC Past Accepting new patients
Wake Forest Health Network LLC PastSince Sep 28, 2025 Accepting new patients
Triad Adult and Pediatric Medicine, Inc. Past Accepting new patients

Locations

1814 Westchester Dr
Ste 203
High Point, NC 27262
Phone (336) 702-1355

4515 Premier Dr
Ste 203
High Point, NC 27265
Phone (336) 802-2200

624 Quaker Ln
Ste 200D
High Point, NC 27262
Phone (336) 878-6101

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1467939116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN STE 200D",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623800",
            "telephone_number": "336-878-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WESTCHESTER DR STE 203",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27262",
            "telephone_number": "336-802-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Westchester Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627369",
            "country_code": "US",
            "telephone_number": "336-802-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1814 Westchester Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627369",
            "country_code": "US",
            "telephone_number": "336-802-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Premier Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658356",
            "country_code": "US",
            "telephone_number": "336-802-2200",
            "fax_number": "336-802-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATON",
        "first_name": "LEKEISHIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.