Active NPI
Shemille Dawnte Flinta, FNP-C
- Family Nurse Practitioner
- Fayetteville, NC
National Provider Identifier
1730038787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5024684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17805-33 | WI | MD | Family 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.