Active NPI
Shiquita White, DC
- Chiropractor
- Olive Branch, MS
National Provider Identifier
1851871818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1284
- Practice address
- 6942 Autumn Oaks Dr Ste a
Olive Branch, MS 38654-9379 - Phone
- (662) 890-0012
- Fax
- (662) 890-0522
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1284 | MS | Primary |
Addresses
Primary practice location
6942 Autumn Oaks Dr Ste a
Olive Branch, MS 38654-9379
Mailing address
210 E Commerce St Ste 1
Hernando, MS 38632-2308
Phone (662) 912-9294
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1284 | MS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1851871818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E COMMERCE ST STE 1",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386322308",
"telephone_number": "662-912-9294",
"fax_number": "662-890-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6942 AUTUMN OAKS DR STE A",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386549379",
"telephone_number": "662-890-0012",
"fax_number": "662-890-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SHIQUITA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.