Active NPI
Shamprelissia Rumph
- Physician Assistant
- Chattahoochee, FL
National Provider Identifier
1912310293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2663364
- Practice address
- 527 Tyus St
Chattahoochee, FL 32324-1438 - Phone
- (850) 663-4689
- NPI assigned
- Jun 4, 2014
- Last updated
- Jun 4, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2663364 | FL | Primary |
Addresses
Primary practice location
527 Tyus St
Chattahoochee, FL 32324-1438
Mailing address
527 Tyus St
Chattahoochee, FL 32324-1438
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2663364 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1912310293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 TYUS ST",
"city": "CHATTAHOOCHEE",
"state": "FL",
"postal_code": "323241438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 TYUS ST",
"city": "CHATTAHOOCHEE",
"state": "FL",
"postal_code": "323241438",
"telephone_number": "850-663-4689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMPH",
"first_name": "SHAMPRELISSIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "2663364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattahoochee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.