Shakelah Beth Locklear
Individual provider Active NPI Family Nurse Practitioner · Red Springs, NC
NPI 1962259010 · NPPES record last updated May 21, 2024
Key facts
- NPI
- 1962259010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5020020 (NC)
- Practice address
- 302 Mount Tabor Rd
Red Springs, NC 28377-6415 - Phone
- (910) 227-2850
- Fax
- (910) 227-2847
- NPI assigned
- May 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Quickcare Family Practice, PLLC
Practice addresses (Care Compare)
8116
Suite 711
Pembroke, NC 28372
Phone (910) 828-1131
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240529003815 | NC | Practitioner - Nurse Practitioner | 8820430317 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Quickcare Family Practice, PLLC | Current |
Accepting new patients | |
| Liberty Medical Care Services, LLC | Current |
Accepting new patients |
Locations
316 NC Highway 801 S
Advance, NC 27006
Phone (336) 998-0240
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
8116 NC Highway 711
Pembroke, NC 28372
Phone (910) 966-4500
3000 Holston Ln
Raleigh, NC 27610
Phone (919) 231-6045
4412 S Main St
Salisbury, NC 28147
Phone (704) 637-3040
44 McNeill Plz
Whiteville, NC 28472
Phone (910) 642-0224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5020020 | NC | Yes |
Addresses
Primary practice location
302 Mount Tabor Rd
Red Springs, NC 28377-6415
Mailing address
60 Commerce Plaza Cir
Pembroke, NC 28372-7386
Phone (910) 521-2900
Other providers in Red Springs, NC
- Amber Locklear
- Bethany Locklear
- Cheryl R Locklear
- Kenneth Edward Locklear
- Kimberly Michelle Locklear
- Loving Tree Center, LLC
- Jada Brooke Lowry
- Georgianna Mack
- Majestic Home Care
- Majestic Home Care
All providers in Red Springs, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.