Nykichia Shamon Shaw, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

5019848 Issued in NC

Practice address

300 Medical Pavilion Dr Ste 250
Raeford, NC 28376-0018

Phone

(910) 904-8035

Fax

(910) 615-9752

NPI assigned

May 8, 2024

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nshaw134333@capefearvalley.direct-ci.com

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.

• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Orthopedics & Sports Medicine of Cape Fear Valley Health

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1235957655
  Medicare reassignment Care Compare group NPD
• Hoke Healthcare, LLC

  dba Hoke OB/GYN Clinic

  • Clinic/Center
  • Raeford, NC
  • NPI 1114277035
  Medicare reassignment NPD
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Valley Orthopedic Spine Specialists

  • Orthopaedic Surgery of the Spine Physician
  • Fayetteville, NC
  • NPI 1568315554
  NPD
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Valley OB/GYN-HPN

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
  • NPI 1861217846
  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley OB/GYN

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
  • NPI 1497757785
  NPD
• Cumberland County Hospital System Inc

  dba Oncology Services

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD
• Hoke Healthcare LLC

  dba Cape Fear Valley Hoke Hospital

  • General Acute Care Hospital
  • Raeford, NC
  • NPI 1750788238
  NPD

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1588412258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044415",
            "telephone_number": "910-615-3500",
            "fax_number": "910-615-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PAVILION DR STE 250",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760018",
            "telephone_number": "910-904-8035",
            "fax_number": "910-615-9752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 Walter Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044415",
            "country_code": "US",
            "telephone_number": "910-615-3500",
            "fax_number": "910-615-3560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6387 Ramsey St Unit 240",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283119442",
            "country_code": "US",
            "telephone_number": "910-615-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "683 E Palmer St",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283766648",
            "country_code": "US",
            "telephone_number": "910-875-3717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 1829",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283021829",
            "country_code": "US",
            "telephone_number": "910-433-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "NYKICHIA",
        "middle_name": "SHAMON",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5019848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Self Centered LLC (Self Centered Body & Wellness)
• Serenity Therapeutic Services, LLC
• Kathy Sanders Settle, FNP
• James William Shaffer, PA-C
• Sharper Images of Fayetteville, Inc
• Phyllis Anita Shaw
• Kantrell Deshawn Shelton, LCAS
• William Francis Shilkitus, PAC
• Zydet Short
• Fatimatou Sidi

• Women's Health Nurse Practitioner in Raeford, NC
• Providers in Raeford, NC by specialty
• Women's Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.