Shenika N Washington, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903032 Issued in MS

Practice address

501 Avalon Way Ste C
Brandon, MS 39047-7500

Phone

(601) 992-9790

Fax

(601) 992-9796

NPI assigned

Oct 29, 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, LA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minor Med Care, LLCGroup PAC ID 7618866021, shared by 2 NPIs, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• Heal All Wound Care LLC

  • Adult Health Nurse Practitioner
  • Flowood, MS
  • NPI 1093554982
  Medicare reassignment NPD
• MD Billing, LLC

  • Psychiatry Physician
  • Jackson, MS
  • NPI 1548474042
  Medicare reassignment NPD
• MDB Behavioral Health Services LLC

  dba Complete Care Rural Health Clinic

  • Rural Health Clinic/Center
  • Vicksburg, MS
  • NPI 1669835310
  Medicare reassignment NPD
• MDB Care Management LLC

  • Primary Care Nurse Practitioner
  • Flowood, MS
  • NPI 1144925272
  Medicare reassignment NPD
• Minor Med Care, LLC

  • Primary Care Clinic/Center
  • Jackson, MS
  • NPI 1407968738
  Medicare reassignment NPD
• Uppal Medical Center LLC

  • Rural Health Clinic/Center
  • Greenville, MS
  • NPI 1558927905
  Medicare reassignment NPD
• Louisiana Health Care Practitioners LLC

  dba Mansura Family Clinic

  • Rural Health Clinic/Center
  • Mansura, LA
  • NPI 1811065220
  Medicare reassignment
• Minor Med Care, LLC

  • Rural Health Clinic/Center
  • Raymond, MS
  • NPI 1669575627
  NPD
• Heal All Wound Care LLC

  • Adult Health Nurse Practitioner
  • Jackson, MS
  • NPI 1477479384
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1457828428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SOMERSET CV",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107540",
            "telephone_number": "601-506-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AVALON WAY STE C",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477500",
            "telephone_number": "601-992-9790",
            "fax_number": "601-992-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "SHENIKA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ware, PHARMD
• Steven Paul Warner
• Kimberly Warren-Ellis, MD
• Eric Jermaine Warren, M.D.
• Constance Schene Washington
• Rodger Wasson Jr.
• Azhia Watkins, MS,PLPC
• Christopher J Watkins, NP
• Yolanda Watts
• Mandy Patterson Wedgeworth, FNP-BC

• Family Nurse Practitioner in Brandon, MS
• Providers in Brandon, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.