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KHALELAH SHACKLEFORD
NPI 1295504546
Student in an Organized Health Care Education/Training Program in Pembroke, NC

Active since December 28, 2023
1 UNIVERSITY RD, PEMBROKE, NC 28372(252) 624-4911 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Khalelah Shackleford NPPES

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

KHALELAH SHACKLEFORD (NPI 1295504546) is an individual student in an organized health care education/training program in Pembroke, North Carolina and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1295504546
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKHALELAH SHACKLEFORD
Location Address1 UNIVERSITY RDPembroke, NC 28372-8699
Mailing Address6428 Nc Highway 903 SLa Grange, NC 28551-8362 · (125) 262-4491
Phone(252) 624-4911
Sole ProprietorYes
Enumeration DateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1295504546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 UNIVERSITY RD, Pembroke, NC 28372
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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.

DEVAN TYLER PENNY ATS
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY RD
PEMBROKE, NC 28372
Robeson County (910) 918-6990
MRS. ARIEL HUDSON
Counselor (School)
1 UNIVERSITY RD
PEMBROKE, NC 28372
Robeson County (910) 521-6271
HANNAH LEBBIN
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY RD
PEMBROKE, NC 28372
Robeson County (555) 555-5555
AMY MCDONALD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY RD
PEMBROKE, NC 28372
Robeson County (910) 964-1857
ALEASHA TIERRA BEARS
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY RD
PEMBROKE, NC 28372
Robeson County (910) 217-4562
CARLOS MIGUEL RIVERA JR.
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY RD
PEMBROKE, NC 28372
Robeson County (910) 859-0732
GABRIELLE ROSE HOFMEISTER LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY RD
PEMBROKE, NC 28372
Robeson County (910) 775-4106
MRS. SUSAN CHRISTIAN EDKINS LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY RD, HHP DEPT. UNC PEMBROKE
PEMBROKE, NC 28372
Robeson County (910) 521-6480

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 Khalelah Shackleford's NPI number?

The NPI number for Khalelah Shackleford is 1295504546. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Khalelah Shackleford located?

Khalelah Shackleford practices at 1 University Rd, Pembroke, NC 28372. The listed phone number is (252) 624-4911.

What is Khalelah Shackleford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Khalelah Shackleford was last updated on December 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.