Active NPI
Lekeishia Michelle Staton, CPNP-PC
- Pediatric Nurse Practitioner
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- PENDING
- Practice address
- 1814 Westchester Dr Ste 203
High Point, NC 27262 - Phone
- (336) 802-2201
- NPI assigned
- Jul 25, 2018
- Last updated
- Aug 9, 2018
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Past | Accepting new patients | |
| Wake Forest Health Network LLC | Past | 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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
dba Guilford Child Health-High Point
- Federally Qualified Health Center (FQHC)
- High Point, NC
- NPI 1629077490
-
dba Atrium Health Wake Forest Baptist Pediatrics - Premier
- Pediatrics Physician
- High Point, NC
- NPI 1346516895
-
dba Atrium Health Levine Children's Pediatrics Northwest
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.