Shadara King, AGNP-C
NPI 1093286015 · Nurse Practitioner · Raleigh, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shadara King, AGNP-C is a Nurse Practitioner provider in Raleigh, NC (NPI 1093286015).
Provider details
- NPI number
- 1093286015
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP-0010645 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 442 | 90 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 296 | 51 |
| Gabapentin | 68 | 19 |
| Methadone Hcl | 47 | — |
| Ibuprofen | 44 | 21 |
| Oxycodone Myristatebrand: Xtampza Er | 42 | — |
| Oxycodone Hclbrand: Oxycontin |
Practice location
Mailing address
Additional practice locations (2)
- 3508 Market St Ste 213Philadelphia, PA 19104-3320Phone: (267) 754-8400
- 6000 Poplar Ave Ste 250Memphis, TN 38119-3974Phone: (901) 625-5408
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2023-07-07
- Certified
- 2022-03-17
Frequently asked questions
- What is Shadara King's NPI number?
- Shadara King's National Provider Identifier (NPI) is 1093286015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shadara King's specialty?
- Shadara King is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shadara King located?
- Shadara King's practice location on file with NPPES is 3214 Charles B Root Wynd Ste 203, Raleigh, NC 27612-5440.
- What is Shadara King's phone number?
- The practice phone number listed in the NPPES registry for Shadara King is (919) 877-6800.
- Does Shadara King accept Medicare?
- Shadara King is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shadara King's NPI active?
- Yes — Shadara King's NPI (1093286015) is active in the NPPES registry as of the last update on 2023-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.