Active NPI
Shaprise Deniseyell Bibbs
- Massage Therapist
- Jackson, MS
National Provider Identifier
1174335582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2931
- Practice address
- 5360 I 55 N Ste 112
Jackson, MS 39211-4055 - Phone
- (601) 397-7124
- NPI assigned
- Jan 22, 2025
- Last updated
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2931 | MS | Primary |
Addresses
Primary practice location
5360 I 55 N Ste 112
Jackson, MS 39211-4055
Mailing address
5360 I 55 N Ste 112
Jackson, MS 39211-4055
Phone (601) 397-7124
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 |
|---|---|---|---|
| 2931 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1174335582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5360 I 55 N STE 112",
"city": "JACKSON",
"state": "MS",
"postal_code": "392114055",
"telephone_number": "601-397-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5360 I 55 N STE 112",
"city": "JACKSON",
"state": "MS",
"postal_code": "392114055",
"telephone_number": "601-397-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBBS",
"first_name": "SHAPRISE",
"middle_name": "DENISEYELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MS",
"license": "2931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.