Individual provider Active NPI

Shakeva Lumas, NP-C

  • Family Nurse Practitioner
  • Grenada, MS
National Provider Identifier
1356072565
Registry record updated Jun 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905377 Issued in MS
Practice address
340 Van Dorn St
Grenada, MS 38901-4738
Phone
(662) 520-8663
NPI assigned
Jun 19, 2022
Last updated
Jun 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905377 MS Primary

Addresses

Primary practice location

340 Van Dorn St
Grenada, MS 38901-4738

Mailing address

340 Van Dorn St
Grenada, MS 38901-4738
Phone (662) 520-8663

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230120000226 MS Practitioner - Nurse Practitioner 0244600054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

340 Van Dorn St
Grenada, MS 38901-4738
Phone (662) 307-2274

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumas Healthcare and Associates LLC Family CurrentSince Oct 12, 2022 Accepting new patients

Locations

340 Van Dorn St
Grenada, MS 38901
Phone (662) 226-0325

68 S Main St
Grenada, MS 38901
Phone (662) 892-2660

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1356072565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 VAN DORN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014738",
            "telephone_number": "662-520-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VAN DORN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014738",
            "telephone_number": "662-520-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMAS",
        "first_name": "SHAKEVA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

Verify at the official NPI Registry.