Individual provider Active NPI

Cindy Shields Dean, FNP

  • Family Nurse Practitioner
  • Florence, MS
National Provider Identifier
1699022392
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R692948 Issued in MS
Practice address
128 Earl Clark Dr
Florence, MS 39073-6604
Phone
(601) 891-8465
Fax
(601) 891-8468
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R692948 MS Primary

Addresses

Primary practice location

128 Earl Clark Dr
Florence, MS 39073-6604

Mailing address

128 Earl Clark Dr
Florence, MS 39073-6604
Phone (601) 891-8465

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

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1699022392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 EARL CLARK DR",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390736604",
            "telephone_number": "601-891-8465",
            "fax_number": "601-891-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EARL CLARK DR",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390736604",
            "telephone_number": "601-891-8465",
            "fax_number": "601-891-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "CINDY",
        "middle_name": "SHIELDS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R692948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.