Individual provider Active NPI

Ladena Desiree McEntyre, CNA, MEDICATION AIDE

  • Nurse's Aide
  • Shelby, NC
National Provider Identifier
1700670452
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
527130 Issued in NC
Practice address
800 Elmwood Dr
Shelby, NC 28152-6464
Phone
(704) 284-8038
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 527130 NC Primary

Addresses

Primary practice location

800 Elmwood Dr
Shelby, NC 28152-6464

Mailing address

800 Elmwood Dr
Shelby, NC 28152-6464
Phone (704) 284-8038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
527130NCMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Cna Solutions, LLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1700670452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ELMWOOD DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526464",
            "telephone_number": "704-284-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ELMWOOD DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526464",
            "telephone_number": "704-284-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTYRE",
        "first_name": "LADENA",
        "middle_name": "DESIREE",
        "credential": "CNA, MEDICATION AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "527130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.