Shawanna Bumpers

Primary specialty

DriverTaxonomy code 172A00000X

License

800884908 Issued in MS

Practice address

16145 Orange Grove Rd Ste A1
Gulfport, MS 39503-2966

Phone

(228) 547-9349

Fax

(228) 731-3182

NPI assigned

Feb 22, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Greater Love Home Care

  • In Home Supportive Care Agency
  • Gulfport, MS
  • NPI 1730804451
  NPD Authorized official
• Loving Care Superior Lab

  • Clinical Medical Laboratory
  • Gulfport, MS
  • NPI 1306508932
  NPD Authorized official

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1487410932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16145 ORANGE GROVE RD STE A1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032966",
            "telephone_number": "228-547-9349",
            "fax_number": "228-731-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16145 ORANGE GROVE RD STE A1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032966",
            "telephone_number": "228-547-9349",
            "fax_number": "228-731-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPERS",
        "first_name": "SHAWANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MS",
            "license": "800884908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Bruton, CNP
• David Buckheister
• Heather Buckheister, NP
• Lauryn Buckingham
• Ebony Buckley
• Brandon Joseph Bunol, MD
• Larry Ross Buntyn Sr., DDS
• Caitlyn R Burgess, OT
• Patricia Burgess, PT
• Peggy Burke, RN

• Driver in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Driver in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.