Keira Kay Wildman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

98307 Issued in NC

Practice address

1895 E Dixon Blvd
Shelby, NC 28152-6901

Phone

(980) 306-4201

Fax

(704) 445-7016

NPI assigned

Dec 9, 2025

Last updated

Apr 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1649133356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 E DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526901",
            "telephone_number": "980-306-4201",
            "fax_number": "704-445-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 E DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526901",
            "telephone_number": "980-306-4201",
            "fax_number": "704-445-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDMAN",
        "first_name": "KEIRA",
        "middle_name": "KAY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "98307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Whitaker
• White Oak Manor Shelby Inc (White Oak Manor Shelby)
• Carolyn Denise White, PHARMD
• Jennifer White
• Tammy White, CFM
• Elizabeth Marie Will, LPC
• William R. Plaster, DDS, PA
• Alexis Williams Simmons
• Gabriell Charlotte Williams-Harkey, CSAC 25183
• Ashley Jones Williams, FNP

• Licensed Practical Nurse in Shelby, NC
• Providers in Shelby, 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 Apr 29, 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.

Verify at the official NPI Registry.