Dominique Shunta Sulton

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

60561 Issued in MS

Practice address

5600 Keele St Apt 1808
Jackson, MS 39206-2047

Phone

(251) 550-7748

NPI assigned

Dec 21, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1366211138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 KEELE ST APT 1808",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062047",
            "telephone_number": "251-550-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 KEELE ST APT 1808",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062047",
            "telephone_number": "251-550-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTON",
        "first_name": "DOMINIQUE",
        "middle_name": "SHUNTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MS",
            "license": "60561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Sullivan
• Sally Sullivan, CRNA
• Bertha Siedah Sullivn, RN
• Ralph E Sulser, M.D.
• Aqfa Sultana
• Michal Sumerall, RN
• Donna Summers, LMT
• Frankie Summers Jr.
• Mark William Summers, MD
• Richard L Summers, M.D.

• Nursing Care Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Nursing Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.