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SHAKIA LEANN NELSON CEO
NPI 1063158582
Pathology - Clinical Laboratory Director, Non-physician in Fayetteville, NC

Active since May 08, 2022
1830 OWEN DR STE 202-2, FAYETTEVILLE, NC 28304(910) 218-0015(910) 500-3999 Get Directions Write a Review

NPPES record last updated: May 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shakia Leann Nelson Ceo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAKIA LEANN NELSON CEO (NPI 1063158582) is an individual clinical laboratory director, non-physician in Fayetteville, North Carolina and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1063158582
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameSHAKIA LEANN NELSONCredential: CEO
Location Address1830 OWEN DR STE 202-2Fayetteville, NC 28304-1611
Mailing Address1830 Owen Dr Ste 202-2Fayetteville, NC 28304-1611 · (910) 218-0015 · Fax (910) 500-3999
Phone(910) 218-0015
Fax(910) 500-3999
Sole ProprietorNo
Enumeration DateMay 8, 2022
NPPES CertifiedMay 8, 2022
✔ NPI 1063158582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

1830 OWEN DR STE 202-2, Fayetteville, NC 28304
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAYETTEVILLE FINGERPRINTING & DIAGNOSTICS, LLC
Clinical Medical Laboratory
1830 OWEN DR STE 202-2
FAYETTEVILLE, NC 28304
Cumberland County (912) 432-4116

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 Shakia Nelson's NPI number?

The NPI number for Shakia Nelson is 1063158582. It was assigned to this individual provider in the NPPES registry on May 8, 2022.

Where is Shakia Nelson located?

Shakia Nelson practices at 1830 Owen Dr Ste 202-2, Fayetteville, NC 28304. The listed phone number is (910) 218-0015.

What is Shakia Nelson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Shakia Nelson was last updated on May 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.