Mickayla D Shurn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6155 W Jamison Dr
McCordsville, IN 46055-6300

Phone

(317) 292-5123

NPI assigned

Jan 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: jennifermurphy@murphymentoring.org

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1194477562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 W JAMISON DR",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460556300",
            "telephone_number": "317-292-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 W JAMISON DR",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460556300",
            "telephone_number": "317-292-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURN",
        "first_name": "MICKAYLA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003159",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JenniferMurphy@murphymentoring.org",
            "affiliation": "N",
            "endpointDescription": "Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messages",
            "address_1": "6155 W Jamison Dr",
            "city": "McCordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460556300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariah Brooke Scheker, DNP
• Susan Marie Schmidt
• Lisa Jestine Scott-McGee
• Suresh Seshan, M.D.
• Tyra Shepherd, CCMA
• Katherine Reeder Sidwell, FNP
• Kelli D. Silcox
• Jasmine E Smith, BCBA
• Kristen Joy Steiner, MD
• Courtney Stellema

• Behavior Technician in McCordsville, IN
• Providers in McCordsville, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.