Individual provider Active NPI

Shana Loleta Moore, MA

  • Audiologist
  • Holly Springs, NC
National Provider Identifier
1669031498
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
13297 Issued in NC
Practice address
500 Holly Springs Rd
Holly Springs, NC 27540-6204
Phone
(984) 225-2558
NPI assigned
Jun 5, 2019
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 13297 NC Primary

Addresses

Primary practice location

500 Holly Springs Rd
Holly Springs, NC 27540-6204

Mailing address

500 Holly Springs Rd
Holly Springs, NC 27540-6204
Phone (984) 225-2558

Other practice location 1

225 Brightwater Dr Ste 210
Lillington, NC 27546-5156
Phone (910) 230-7900

Other names 1

  • Shana Loleta Wells Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905000830 NC Practitioner - Qualified Audiologist 0840277877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Cincinnati College of Medicine and Surgery, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

225 Brightwater Dr
Suite 210
Lillington, NC 27546-5156
Phone (910) 230-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
13297NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harnett Health System Inc CurrentSince Aug 26, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Multi-Specialty Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Multi-Specialty CurrentSince Dec 15, 2024 Accepting new patients
Harnett Health System, Inc. Multi-Specialty Current Accepting new patients
Harnett Health System Inc CurrentSince Aug 26, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Dec 15, 2024 Accepting new patients
Mann Ear Nose & Throat Clinic PA Multi-Specialty CurrentSince Mar 14, 2022 Accepting new patients

Locations

601 Keisler Dr
Ste 200
Cary, NC 27518
Phone (919) 859-4744

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

225 Brightwater Dr
Ste 210
Lillington, NC 27546
Phone (910) 230-7900

Organizations & group practices 7

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1669031498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "984-225-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "984-225-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Brightwater Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-230-7900",
            "fax_number": "910-891-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHANA",
        "middle_name": "LOLETA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "13297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "WELLS",
            "middle_name": "LOLETA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.