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NATHAN SHACKELFORD
NPI 1073483103
Psychologist - Exercise & Sports in Hickory, NC

Active since November 05, 2025
315 1ST AVE NW STE 101, HICKORY, NC 28601(828) 322-6979 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Shackelford NPPES

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

NATHAN SHACKELFORD (NPI 1073483103) is an individual exercise & sports provider in Hickory, North Carolina and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1073483103
Entity TypeIndividualMale
Primary Taxonomy103TE1100X
Provider Legal NameNATHAN SHACKELFORD
Location Address315 1ST AVE NW STE 101Hickory, NC 28601-6169
Mailing Address315 1st Ave Nw Ste 101Hickory, NC 28601-6169 · (828) 322-6979
Phone(828) 322-6979
Sole ProprietorNo
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1073483103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
315 1ST AVE NW STE 101, Hickory, NC 28601
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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 Nathan Shackelford's NPI number?

The NPI number for Nathan Shackelford is 1073483103. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Nathan Shackelford located?

Nathan Shackelford practices at 315 1st Ave NW Ste 101, Hickory, NC 28601. The listed phone number is (828) 322-6979.

What is Nathan Shackelford's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for Nathan Shackelford was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.