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Mrs. Shadara King, AGNP-C

Nurse Practitioner in Raleigh, NC · enumerated 2018 · practices at Actify Neurotherapies Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093286015

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Registry record

Entity type Individual (Type 1)
Name Mrs. Shadara King
Credential AGNP-C
Sex Female
Practice address Raleigh, NC, 27612
Phone (919) 877-6800
Fax (844) 881-7701
Enumeration date Dec 17, 2018
Last updated in NPPES Jul 7, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License LP-0010645 (DE) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 33592 (TN) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 27576 (SC) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 3-001270 (AL) Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 5011293 (NC) Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AG03180040 (GA) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 5011293 (NC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Shadara King practice?
The practice location on file with NPPES is in Raleigh, NC. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Shadara King?
The National Provider Identifier (NPI) for Shadara King is 1093286015, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-07.