Individual provider Active NPI

Shemille Dawnte Flinta, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1730038787
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024684 Issued in NC
Practice address
6201 Raeford Rd
Fayetteville, NC 28304-2425
Phone
(910) 609-3780
Fax
(910) 615-9663
NPI assigned
Jan 23, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 17805-33 WI
Family Nurse Practitioner 363LF0000X 5024684 NC Primary

Addresses

Primary practice location

6201 Raeford Rd
Fayetteville, NC 28304-2425

Mailing address

514 5TH Ave S
Columbus, MS 39701-6718

Other practice location 1

514 5th Ave S
Columbus, MS 39701-6718
Phone (847) 212-8404

Other practice location 2

1307 Avon St
Fayetteville, NC 28304-4423
Phone (910) 323-1718

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
17805-33WIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1730038787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 5TH AVE S",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397016718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042425",
            "telephone_number": "910-609-3780",
            "fax_number": "910-615-9663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397016718",
            "country_code": "US",
            "telephone_number": "847-212-8404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 Avon St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044423",
            "country_code": "US",
            "telephone_number": "910-323-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLINTA",
        "first_name": "SHEMILLE",
        "middle_name": "DAWNTE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "17805-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.