Active NPI
Sherice Shunta Stutts-Walker
- Personal Care Attendant
- Jackson, MS
National Provider Identifier
1972032159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 2017018962
- Practice address
- 6451 Homewood Cir
Jackson, MS 39213-7814 - Phone
- (601) 202-2908
- Fax
- (601) 510-9691
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 2017018962 | MS | Primary |
Addresses
Primary practice location
6451 Homewood Cir
Jackson, MS 39213-7814
Mailing address
6451 Homewood Cir
Jackson, MS 39213-7814
Phone (601) 202-2908
Other practice location 1
6451 Homewood Cir
Jackson, MS 39213-7814
Phone (601) 202-2908
Other names 1
- Ms. Cherce Shunta Stutts-Walker
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 |
|---|---|---|---|
| 2017018962 | MS | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972032159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 HOMEWOOD CIR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137814",
"telephone_number": "601-202-2908",
"fax_number": "601-510-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 HOMEWOOD CIR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137814",
"telephone_number": "601-202-2908",
"fax_number": "601-510-9691"
}
],
"practiceLocations": [
{
"address_1": "6451 Homewood Cir",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392137814",
"country_code": "US",
"telephone_number": "601-202-2908",
"fax_number": "601-510-9691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUTTS-WALKER",
"first_name": "SHERICE",
"middle_name": "SHUNTA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MS",
"license": "2017018962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERCE",
"last_name": "STUTTS-WALKER",
"middle_name": "SHUNTA",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.