Active NPI
Shelia Denise Mickle, AGNP-C
- Nurse Practitioner
- Biloxi, MS
National Provider Identifier
1457073546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 905395
- Practice address
- 180B Debuys Rd
Biloxi, MS 39531-4404 - Phone
- (228) 806-7030
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 905395 | MS | Primary |
Addresses
Primary practice location
180B Debuys Rd
Biloxi, MS 39531-4404
Mailing address
PO Box 4594
Biloxi, MS 39535-4594
Phone (228) 273-4096
Other practice location 1
3003 Shortcut Rd
Pascagoula, MS 39567-1810
Phone (228) 273-4096
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | billing@painstopspineclinic.com | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1457073546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4594",
"city": "BILOXI",
"state": "MS",
"postal_code": "395354594",
"telephone_number": "228-273-4096",
"fax_number": "228-594-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180B DEBUYS RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395314404",
"telephone_number": "228-806-7030"
}
],
"practiceLocations": [
{
"address_1": "3003 Shortcut Rd",
"address_purpose": "LOCATION",
"city": "Pascagoula",
"state": "MS",
"postal_code": "395671810",
"country_code": "US",
"telephone_number": "228-273-4096",
"fax_number": "228-594-1765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICKLE",
"first_name": "SHELIA",
"middle_name": "DENISE",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "905395",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@painstopspineclinic.com",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMAIL",
"address_1": "180B Debuys Rd",
"city": "Biloxi",
"state": "MS",
"country_code": "US",
"postal_code": "395314404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.