Shekeema Schultz, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20611 Issued in NC

Practice address

4276 Legend Ave
Fayetteville, NC 28303-3497

Phone

(910) 867-0035

Fax

(910) 485-6589

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Evergreen Health Services, LLC

  • Clinic/Center
  • Fayetteville, NC
  • NPI 1578704466
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1790186765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 PINCKNEY ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722220",
            "telephone_number": "910-641-0600",
            "fax_number": "910-641-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 LEGEND AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033497",
            "telephone_number": "910-867-0035",
            "fax_number": "910-485-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "SHEKEEMA",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL ADDICTION SPECIALIST",
            "identifier": "20611",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark William Schmitt, M.D.
• Faith Schochler
• Byron Wyche Schulken, LAT,ATC
• Mary Elizabeth Schultz-Villarreal, FNP-C
• Edward M Schultz, D.C.
• Anna Rae Schumacher, LCSWA
• David Alan Schutzer, MD
• Allison Sills Schwartz, OTR/L
• Sarah Schwartz, MSSW
• Leeroy Gregory Schwieterman, LCSW

• Addiction (Substance Use Disorder) Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.