Individual provider Active NPI

Shemika Natasha Missick/Seymour

  • Homemaker
  • North Lauderdale, FL
National Provider Identifier
1841757648
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
234839 Issued in FL
Practice address
1418 Avon LN Apt 27
North Lauderdale, FL 33068-5894
Phone
(754) 273-0789
Fax
(954) 366-6099
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 234839 FL Primary

Addresses

Primary practice location

1418 Avon LN Apt 27
North Lauderdale, FL 33068-5894

Mailing address

1418 Avon LN Apt 27
North Lauderdale, FL 33068-5894
Phone (754) 273-0789

Other names 1

  • Shemika Seymour Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
234839FLMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1841757648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 AVON LN APT 27",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685894",
            "telephone_number": "754-273-0789",
            "fax_number": "954-366-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 AVON LN APT 27",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685894",
            "telephone_number": "754-273-0789",
            "fax_number": "954-366-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSICK/SEYMOUR",
        "first_name": "SHEMIKA",
        "middle_name": "NATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEMIKA",
            "last_name": "SEYMOUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.