Active NPI
Julia Blake Allen Shaw
- Family Nurse Practitioner
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5014750
- Practice address
- 725 Oakridge Blvd Ste B2
Lumberton, NC 28358-2351 - Phone
- (910) 671-0052
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5014750 | NC | Primary |
Addresses
Primary practice location
725 Oakridge Blvd Ste B2
Lumberton, NC 28358-2351
Mailing address
725 Oakridge Blvd Ste B2
Lumberton, NC 28358-2351
Phone (910) 671-0052
Other practice location 1
9858 N Wr Latham Dr
Clarkton, NC 28433-9341
Phone (910) 862-1217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9858 N WR Latham Dr
Clarkton, NC 28433-9341
Phone (910) 862-1217
Hospital & facility affiliations
- Well Care Home Health
- Cape Fear Valley-Bladen County Hospital
- Southeastern Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014750 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Bladen Healthcare, LLC | Past | Accepting new patients |
Locations
88 E Green St
Clarkton, NC 28433
Phone (910) 647-0064
9858 N Wr Latham Dr
Clarkton, NC 28433
Phone (910) 647-1503
501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043
395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434
725 Oakridge Blvd
Ste B2
Lumberton, NC 28358
Phone (910) 671-0052
Interoperability endpoints
- jshaw115705@capefearvalley.direct-ci.com
- jshaw846100@direct.unc.nchie.net
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
- Multi-Specialty Clinic/Center
- Lumberton, NC
- NPI 1427282045
-
- Rural Health Clinic/Center
- Clarkton, NC
- NPI 1043759335
-
- Rural Health Clinic/Center
- Whiteville, NC
- NPI 1821764390
-
- Multi-Specialty Clinic/Center
- Lumberton, NC
- NPI 1265165518
-
- Hospitalist Physician
- Elizabethtown, NC
- NPI 1689018756
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
- General Acute Care Hospital
- Lumberton, NC
- NPI 1427030774
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1841863560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 OAKRIDGE BLVD STE B2",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582351",
"telephone_number": "910-671-0052",
"fax_number": "910-671-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 OAKRIDGE BLVD STE B2",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582351",
"telephone_number": "910-671-0052"
}
],
"practiceLocations": [
{
"address_1": "9858 N Wr Latham Dr",
"address_purpose": "LOCATION",
"city": "Clarkton",
"state": "NC",
"postal_code": "284339341",
"country_code": "US",
"telephone_number": "910-862-1217",
"fax_number": "910-647-0208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAW",
"first_name": "JULIA",
"middle_name": "BLAKE ALLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5014750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.