LAKIESHA JOHNSON SQUIREWELL (NPI# 1447774823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447774823 |
| Entity Type | Individual |
| Full Name | LAKIESHA JOHNSON SQUIREWELL |
| Credential | PMHNP |
| Practice Address |
10130 Perimeter Pkwy Ste 200 Charlotte NC 28216-0197 |
| Mailing Address |
10130 Perimeter Parkway Ste 200 Charlotte NC 28216 |
| Practice Telephone | 7049483536 |
| Mailing Telephone | 8888497379 |
| Mailing Fax Number | 8558577333 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5009714 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10130 PERIMETER PKWY STE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-0197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718619 | John Michael Shimko | Podiatrist | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2005-08-30 |
| 1932686128 | Misty Moore Reagan | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2018-07-20 |
| 1093205049 | Khamphou Manivanh Mosley | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2018-05-15 |
| 1316453194 | Kenya Lakisha Cruz | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2017-12-15 |
| 1164947305 | Toshia Chipman | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-08-09 |
| 1205367588 | Eva Krug | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-03-27 |
| 1639626047 | Tiaira Robinson | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2016-09-01 |
| 1396115424 | Michelle Dunlap Deaton | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2015-10-01 |
| 1629447503 | Cheria Morgan | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2015-09-21 |
| 1750761607 | Terri L Clark | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2015-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292134 | Jurell Kirice Riley | Nurse Practitioner | 6301 Dumont Ln, Charlotte, NC 28269-6147 | 2020-10-09 |
| 1669090213 | Rashonda R. Wheeler | Nurse Practitioner | 8949 Cinnabay Dr, Charlotte, NC 28216-2189 | 2020-07-10 |
| 1053934356 | New Heights Behavioral Health, Pllc | Nurse Practitioner | 4929 Jean Grimes Dr., #304, Charlotte, NC 28269-3061 | 2020-05-20 |
| 1578184594 | Like-way Healthcare Service | Nurse Practitioner | 7919 Mossycup Dr, Charlotte, NC 28215-7159 | 2020-04-30 |
| 1891330346 | Erika Natira Holmes | Nurse Practitioner | 6918 Lenhart Dr, Charlotte, NC 28226-9505 | 2019-11-07 |
| 1215467493 | Unique Psychiatric Care Solutions Pllc | Nurse Practitioner | 301 Mccullough Dr Rm 435, Charlotte, NC 28262-3310 | 2017-06-19 |
| 1649629130 | Ayanna Williams | Nurse Practitioner | 1822 Butterfly Ln, Charlotte, NC 28269-4044 | 2016-06-06 |
| 1083043913 | Karen Treasure | Nurse Practitioner | 13524 Porter Creek Rd, Charlotte, NC 28262-1660 | 2013-11-01 |
| 1689920357 | Laura Harvey Nazzaro | Nurse Practitioner | 10420 Park Rd Ste 300, Charlotte, NC 28210-8502 | 2012-07-31 |
| 1033400478 | Fredom Now Medical, Pllc | Nurse Practitioner | 9635 Southern Pine Blvd # 129, Charlotte, NC 28273-5558 | 2011-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.