Shekina T Dillon, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902683 Issued in MS

Practice address

3446 Popps Ferry Rd
Diberville, MS 39540-2421

Phone

(228) 374-2494

NPI assigned

Jul 11, 2018

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melody.hortondrummond.p1@direct.cfhc.nextgenshare.com

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.

• Baz Family Medical Clinic

  • Family Medicine Physician
  • Pascagoula, MS
  • NPI 1508353384

  MS

  Medicare reassignment NPD
• Coastal Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Biloxi, MS
  • NPI 1629066782

  MS

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MS

  Medicare reassignment NPD
• Coastal Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1427842913
  NPD
• Coastal Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Diberville, MS
  • NPI 1629309117
  NPD
• Coastal Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pass Christian, MS
  • NPI 1801102793
  NPD
• Coastal Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1861950982
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Family Health Center, Inc 48 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1265918445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10467 CORPORATE DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034634",
            "telephone_number": "228-374-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 POPPS FERRY RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402421",
            "telephone_number": "228-374-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "SHEKINA",
        "middle_name": "T",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D'Iberville Chiropractic Clinic, Inc.
• D'Iberville Medical Clinic LLC
• Andrea L Davis, D.D.S.
• Diberville Medical Spa
• Carla Diane Diffenderfer, FNP
• Sarah Sage Dolbear, M.D
• Maria Morrison Dominick, PMHNP
• Ellen Donaldson
• Rhonda Dunaway, RPH
• Vanessa Lynn Duncombe, M.D.

• All providers in Diberville, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.