Individual provider Active NPI

Julia Blake Allen Shaw

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1841863560
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014750 Issued in NC
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

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913000281 NC Practitioner - Nurse Practitioner 4587060843 Reassigns benefits to 2 organizations

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
Bladen Healthcare LLCGroup PAC ID 6800967969, 41 clinicians

Practice addresses (Care Compare)

9858 N WR Latham Dr
Clarkton, NC 28433-9341
Phone (910) 862-1217

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5014750NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Aug 18, 2021 Accepting new patients
Bladen Healthcare LLC CurrentSince Nov 5, 2023 Accepting new patients
Southeastern Regional Physician Services CurrentSince Aug 18, 2021 Accepting new patients
Bladen Healthcare LLC CurrentSince Nov 5, 2023 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

  • Direct secure messaging: jshaw115705@capefearvalley.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.