Chasity Ann Sheppeard, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

904133 Issued in MS

Practice address

2525 Highway 1 S Ste a
Greenville, MS 38701-8354

Phone

(623) 351-1103

Fax

(662) 335-8746

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Joseph R Terracina, MD, PA

  • Dermatology Physician
  • Greenville, MS
  • NPI 1134393952
  Medicare reassignment NPD
• Integrated Dermatology Group, LLC

  • Dermatology Physician
  • Greenville, MS
  • NPI 1164930517
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1013522788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HIGHWAY 1 S STE A",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018354",
            "telephone_number": "662-335-1103",
            "fax_number": "662-335-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HIGHWAY 1 S STE A",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018354",
            "telephone_number": "623-351-1103",
            "fax_number": "662-335-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPEARD",
        "first_name": "CHASITY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Matthew Seigel, MD
• Senior Empowerment Center, LLC
• Sharkey-Issaquena Adult Daycare
• Kimberly Lavearne Shead, SLP
• Patricia Ann Shelton, R.N.
• Shipp Family Eyecare, PLLC
• Robert Searcy Shipp V, O.D.
• Mary Sims-Johnson, LCSW
• Satwinder Singh, MD
• Erica Laquonia Singleton, RN

• Nurse Practitioner in Greenville, MS
• Providers in Greenville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.