Active NPI
Sherita Tompkins
- Social Worker
- Byram, MS
National Provider Identifier
1093317570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M8847
- Practice address
- 4050 Glennoak Dr
Byram, MS 39272-9384 - Phone
- (601) 497-9416
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M8847 | MS | Primary |
Addresses
Primary practice location
4050 Glennoak Dr
Byram, MS 39272-9384
Mailing address
4050 Glennoak Dr
Byram, MS 39272-9384
Phone (601) 497-9416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093317570 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8847 | MS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1093317570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 GLENNOAK DR",
"city": "BYRAM",
"state": "MS",
"postal_code": "392729384",
"telephone_number": "601-497-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 GLENNOAK DR",
"city": "BYRAM",
"state": "MS",
"postal_code": "392729384",
"telephone_number": "601-497-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "SHERITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M8847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093317570",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Byram, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.