Shonna Dickard

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R882768 Issued in MS

Practice address

830 S Gloster St
Tupelo, MS 38801-4934

Phone

(663) 377-4164

NPI assigned

Feb 27, 2014

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

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tate County HospitalGroup PAC ID 6103282165, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shonna.dickard.1@20823.direct.athenahealth.com

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.

• Tate County Hospital

  • Rural Health Clinic/Center
  • Senatobia, MS
  • NPI 1285331298
  Medicare reassignment Care Compare group NPD
• Redmed, LLC

  • Urgent Care Clinic/Center
  • Pontotoc, MS
  • NPI 1437589157
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Tupelo LLC

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1841664661
  Medicare reassignment NPD
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  Nurse Practitioner

  Medicare reassignment NPD
• Redmed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1679305031
  NPD
• Tate County Hospital

  • Family Medicine Physician
  • Sarah, MS
  • NPI 1669349502
  NPD
• Tate County Hospital

  • General Practice Physician
  • Senatobia, MS
  • NPI 1235833997
  NPD (past)

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

• Tate County Hospital

  • General Acute Care Hospital
  • Senatobia, MS
  • NPI 1619676251
  Care Compare affiliation
• Tate County Hospital

  • Family Medicine Physician
  • Sarah, MS
  • NPI 1669349502

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1649695644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "663-377-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKARD",
        "first_name": "SHONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R882768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Devaughn
• Jeffrey Dews
• Jayant Dey, MD
• DHP of North Mississippi Professional Association
• DHS Anesthesia, LLC
• Jennifer M Dickerson, LPC
• Johnice Dickerson, CRC, PCMHT
• Kathy Dickerson, LPC
• Lora Claire Dickerson, M. S., CCC-SLP
• William M Dickerson Jr., OD

• Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.