Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chavonne Nakia Shaw

Individual provider Nurse Practitioner · NPI 1174219638

Chavonne Nakia Shaw is a Nurse Practitioner in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

1357 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4417
Phone: (910) 984-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5017965 (NC)

Record details

NPI number1174219638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients97
Services billed 183 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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