Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MADISUN HOPE SHORE
NPI 1376466607
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Q: What is Madisun Shore's NPI number?

The NPI number for Madisun Shore is 1376466607. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Q: What is Madisun Shore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madisun Shore was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 03, 2026

501 W 4TH ST APT 440, WINSTON SALEM, NC 27101(336) 769-7034 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Madisun Hope Shore NPPES

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

MADISUN HOPE SHORE (NPI 1376466607) is an individual student in an organized health care education/training program in Winston Salem, North Carolina, licensed in North Carolina (01705) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1376466607

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMADISUN HOPE SHORE

Location Address501 W 4TH ST APT 440Winston Salem, NC 27101-3866

Mailing Address501 W 4th St Apt 440Winston Salem, NC 27101-3866

Phone(336) 769-7034

Sole ProprietorNo

Enumeration DateAugust 3, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1376466607 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

License✔ Licensed in NC · 01705

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.

501 W 4TH ST APT 440, Winston Salem, NC 27101

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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 Madisun Shore's NPI number?

The NPI number for Madisun Shore is 1376466607. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Where is Madisun Shore located?

Madisun Shore practices at 501 W 4th St Apt 440, Winston Salem, NC 27101. The listed phone number is (336) 769-7034.

What is Madisun Shore'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 Madisun Shore was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.