Individual provider Active NPI

Shanetta Thompson

  • Psychiatric/Mental Health Nurse Practitioner
  • West Point, MS
National Provider Identifier
1013866003
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
908112 Issued in MS
Practice address
222 Mary Holmes Dr
West Point, MS 39773-4400
Phone
(662) 524-4347
NPI assigned
Jan 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 908112 MS Primary

Addresses

Primary practice location

222 Mary Holmes Dr
West Point, MS 39773-4400

Mailing address

222 Mary Holmes Dr
West Point, MS 39773-4400

Other practice location 1

1660 Veterans Memorial Blvd
Eupora, MS 39744-2048
Phone (662) 258-8147

Other practice location 2

43 Mlk Dr
Macon, MS 39341-2734
Phone (662) 726-5042

Other practice location 3

1001 Main St
Columbus, MS 39701-4751
Phone (662) 328-9225

Other practice location 4

16220 W Main St
Louisville, MS 39339-2639
Phone (662) 773-9377

Other practice location 5

302 N Jackson St
Starkville, MS 39759-2504
Phone (662) 323-9318

Other practice location 6

100 Old Sturgis Rd
Ackerman, MS 39735-6600
Phone (662) 285-6225

Other practice location 7

337 Court St
West Point, MS 39773-2965
Phone (662) 494-7060

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260504008285 MS Practitioner - Nurse Practitioner 0840768230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Region Seven Mental Health Intellectual Disabilities CommGroup PAC ID 3072531953, 12 clinicians

Practice addresses (Care Compare)

302 N Jackson St
Starkville, MS 39759-2504
Phone (601) 323-9261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
908112MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Region Seven Mental Health Idd Commission PastSince Aug 4, 2024 Accepting new patients
Region Seven Mental Health Idd Commission Past Accepting new patients
Region Seven Mental Health Idd Commission PastSince Aug 4, 2024 Accepting new patients
Region Seven Mental Health Idd Commission PastSince Aug 4, 2024 Accepting new patients
Region Seven Mental Health Idd Commission PastSince Aug 4, 2024 Accepting new patients
Region Seven Mental Health Intellectual Disabilities Comm Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1013866003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MARY HOLMES DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397734400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MARY HOLMES DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397734400",
            "telephone_number": "662-524-4347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Veterans Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Eupora",
            "state": "MS",
            "postal_code": "397442048",
            "country_code": "US",
            "telephone_number": "662-258-8147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Mlk Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "MS",
            "postal_code": "393412734",
            "country_code": "US",
            "telephone_number": "662-726-5042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397014751",
            "country_code": "US",
            "telephone_number": "662-328-9225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16220 W Main St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "MS",
            "postal_code": "393392639",
            "country_code": "US",
            "telephone_number": "662-773-9377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592504",
            "country_code": "US",
            "telephone_number": "662-323-9318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Old Sturgis Rd",
            "address_purpose": "LOCATION",
            "city": "Ackerman",
            "state": "MS",
            "postal_code": "397356600",
            "country_code": "US",
            "telephone_number": "662-285-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 Court St",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "MS",
            "postal_code": "397732965",
            "country_code": "US",
            "telephone_number": "662-494-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHANETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "908112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

Verify at the official NPI Registry.