SHAKIRA LEAKE PMHNP-BC
NPI 1003666199
Nurse Practitioner - Psychiatric/Mental Health in Spartanburg, SC
About Shakira Leake Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAKIRA LEAKE PMHNP-BC (NPI 1003666199) is an individual psychiatric/mental health provider in Spartanburg, South Carolina, licensed in South Carolina (28569) and active in the NPI registry since March 2024. She maintains a secondary practice location in Greenwood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPARTANBURG, SC 29303
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shakira Leake's NPI number?
The NPI number for Shakira Leake is 1003666199. It was assigned to this individual provider in the NPPES registry on March 25, 2024.
Where is Shakira Leake located?
Shakira Leake practices at 250 Dewey Ave, Spartanburg, SC 29303. The listed phone number is (864) 585-0366.
What is Shakira Leake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
When was this NPI record last updated?
The NPPES record for Shakira Leake was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shakira Leake, PMHNP-BC · NPI 1003666199
Psychiatric/Mental Health physician in Spartanburg, South Carolina. Individual provider, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1003666199 (Entity type: Individual)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 28569 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 DEWEY AVE, Spartanburg, SC 29303-3009
- **Phone:** (864) 585-0366
## Record status
- **NPPES last updated:** August 17, 2026
- **Other identifiers:** Medicaid 421504 (SC); Other 3335 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1003666199) · Data from the CMS NPPES public registry.