Active NPI
Chasity Michelle Sisson, FNP
- Family Nurse Practitioner
- Shubuta, MS
National Provider Identifier
1992983829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R871983
- Practice address
- 130 N High St
Shubuta, MS 39360-8870 - Phone
- (601) 687-1391
- NPI assigned
- Feb 1, 2008
- Last updated
- May 15, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R871983 | MS | Primary |
Addresses
Primary practice location
130 N High St
Shubuta, MS 39360-8870
Mailing address
130 N High St
Shubuta, MS 39360-8870
Phone (601) 687-1391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Health Services,Inc. | Current | Accepting new patients | |
| Outreach Health Services,Inc. | Current | Accepting new patients | |
| Nation's Best Family Health Care PLLC | Current | Accepting new patients | |
| Amaze Professional Medical Services PC | Past | Accepting new patients |
Locations
1514 W 23rd St
Panama City, FL 32405
Phone (850) 481-1101
309 N Pine Ave
Heidelberg, MS 39439
Phone (601) 687-1391
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- Shubuta, MS
- NPI 1548359565
-
- Family Medicine Physician
- Panama City, FL
- NPI 1699067942
-
dba Jasper Medical Clinic
- Health Maintenance Organization
- Heidelberg, MS
- NPI 1255521480
-
- Family Medicine Physician
- Longmont, CO
- NPI 1225674625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1992983829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N HIGH ST",
"city": "SHUBUTA",
"state": "MS",
"postal_code": "393608870",
"telephone_number": "601-687-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N HIGH ST",
"city": "SHUBUTA",
"state": "MS",
"postal_code": "393608870",
"telephone_number": "601-687-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISSON",
"first_name": "CHASITY",
"middle_name": "MICHELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R871983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shubuta, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.