Destiny Shea Shackleford

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3010 Hamill Rd
Hixson, TN 37343-3322

Phone

(615) 810-8180

NPI assigned

Oct 26, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: destiny.shackleford@churchofjesuschrist.org

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1740944727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TWIN HILLS DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152242",
            "telephone_number": "615-810-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433322",
            "telephone_number": "615-810-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKLEFORD",
        "first_name": "DESTINY",
        "middle_name": "SHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Destiny.Shackleford@churchofjesuschrist.org",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3010 Hamill Rd",
            "city": "Hixson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373433322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sechler Family Vision PLLC
• Laura Hooper Sechler, O.D.
• Judy Faye Settle, D.PH.
• Richard J Settles, D.O.
• Sarah Elizabeth Sewell, PA-C
• Rohan Shah, M.D.
• Amanda Marie Sharpe, DPT
• Jamee D Sharpe, HAD
• Daniel K Shaughnessy, OTR
• Jacquelyn Shaughnessy, RPT

• Mental Health Counselor in Hixson, TN
• Providers in Hixson, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.