Christina Marie Shields, CPNP-AC/PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

904172 Issued in MS

Practice address

2507A Old Brandon Rd
Pearl, MS 39208-4604

Phone

(601) 531-8020

Fax

(601) 345-2124

NPI assigned

Aug 19, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pearls Children's Clinic PLLC

  dba EmPower Childrens Clinic

  • Pediatrics Physician
  • Pearl, MS
  • NPI 1750901179
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1093481038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507A OLD BRANDON RD",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084604",
            "telephone_number": "601-531-8020",
            "fax_number": "601-345-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507A OLD BRANDON RD",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084604",
            "telephone_number": "601-531-8020",
            "fax_number": "601-345-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "CPNP-AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "904172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Edwards Seago, NP
• Serenity Counseling & Wellness, Inc
• Meredith Selman Sheffield, FNP-C
• Brittnei Shelling
• Kelajah Shepard
• Kristen Shivers, DPT
• Gary Simpson
• Doreen Sit
• Dafina J Skinner, DNP, FNP-BC PMHNP-BC
• Jacqueline Anjanette Sledge-Prince, RN, COTA

• Pediatrics Physician in Pearl, MS
• Providers in Pearl, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.