ELIZABETH ANN SHEPARD-BYNUM


Address: 3407 Shamrock Ct, Gautier, MS 39553-5337
Phone: 2284970690

ELIZABETH ANN SHEPARD-BYNUM (NPI# 1134733967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134733967
Entity Type Individual
Full Name ELIZABETH ANN SHEPARD-BYNUM
Other Name ELIZABETH ANN SHEPARD
Practice Address 3407 Shamrock Ct
Gautier
MS 39553-5337
Practice Telephone 2284970690
Mailing Telephone 2284970690
Enumeration Date 2020-08-31
Last Update Date 2020-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00018214 05

Office Location

Street Address 3407 SHAMROCK CT
City GAUTIER
State MS
Zip Code 39553-5337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184626905 Julie T Trice Nurse Practitioner 3407 Shamrock Ct, Gautier, MS 39553 2005-08-11
1144820689 Erica Lynn Holden Case Manager/Care Coordinator 3407 Shamrock Ct, Gautier, MS 39553-5337 2020-10-26
1588271100 Kayla Mitchell Case Manager/Care Coordinator 3407 Shamrock Ct, Gautier, MS 39553-5337 2020-09-28
1336751916 Courtney Dale Trull Case Manager/Care Coordinator 3407 Shamrock Ct, Gautier, MS 39553-5337 2020-08-17
1073138509 Thomas Gregory Hicks Case Manager/Care Coordinator 3407 Shamrock Ct, Gautier, MS 39553-5337 2020-06-10
1588287148 Kaitlyn Hinton Case Manager/Care Coordinator 3407 Shamrock Ct, Gautier, MS 39553-5337 2020-05-18
1043832140 Brenda Gail Miller Case Manager/Care Coordinator 3407 Shamrock Ct, Gautier, MS 39553-5337 2020-05-12
1639716517 Chiquita Walker Counselor 3407 Shamrock Ct, Gautier, MS 39553-5337 2019-12-10
1629615505 Alexusia Jones Case Manager/Care Coordinator 3407 Shamrock Ct, Gautier, MS 39553-5337 2019-12-10
1124663125 Ashley Lauren Tatham Case Manager/Care Coordinator 3407 Shamrock Ct, Gautier, MS 39553-5337 2019-11-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205465044 Loggan Malone Dentist 2808 Us-90 W, Gautier, MS 39553 2020-04-03
1770979775 Catherine Durham Counselor 3407 Shamrock Dr., Gautier, MS 39553 2015-04-07
1851648836 Pharmatex, LLC Pharmacy 4551-d Gautier Vancleave Road, Gautier, MS 39553 2012-08-09
1891957544 David W Bonderer Dds Pllc Dentist 2808 Hwy 90, Suite 1, Gautier, MS 39553 2008-06-25
1790830313 William D Parrish Dentist 713 Us Hwy 90, Gautier, MS 39553 2007-01-24
1073685830 Jeffrey Lamone Knight Dentist 3105 Shaw Dr., Gautier, MS 39553 2006-11-15
1720178437 Erica B Wilson Counselor 3704 Shamrock Court, Gautier, MS 39553 2006-10-13
1881781631 James D Victory Chiropractor 315 Highway 90, Gautier, MS 39553 2006-10-05
1508959180 Robert Douglas Holbert Internal Medicine 2105 Old Spanish Trail, Gautier, MS 39553 2006-10-02
1962508119 Sentry-gautier, Inc. Nursing Facility/Intermediate Care Facility 5090 Gautier Vancleave Road, Gautier, MS 39553 2006-09-15
Find all providers in zip 39553

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376185009 Richard Pottle Aycock Peer Specialist 3407 Shamrock Ct, Gautier, MS 39553-5337 2019-10-15
1073080222 Joannie Michelle Bartlett Peer Specialist 3407 Shamrock Ct, Gautier, MS 39553-5337 2018-10-25
1083180939 Yolanda Elizabeth Flint Peer Specialist 3407 Shamrock Ct, Gautier, MS 39553-5337 2018-10-18
1144724824 Brittany Alexis Pinkney Peer Specialist 3407 Shamrock Ct, Gautier, MS 39553-5337 2018-03-19
1356721708 Charles Wright Peer Specialist 3407 Shamrock Ct, Gautier, MS 39553-5337 2015-06-01
1821480146 Harold Adrian Thomas Jr. Peer Specialist 3407 Shamrock Ct, Gautier, MS 39553-5337 2015-02-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497387641 Redimere Recovery Resources LLC Peer Specialist 4646 Meadow Lake Dr, Tupelo, MS 38801-7928 2020-02-05
1770944977 Judy Dillard Peer Specialist 2100 Chambers Drive, Booneville, MS 38829 2016-03-15
1760082580 Kimberly Eve Spence Peer Specialist 152 Highway 7 S, Oxford, MS 38655-5392 2020-10-30
1508470121 Hannah Olivia Booker Peer Specialist 4905 Telephone Rd, Pascagoula, MS 39567-1823 2020-09-01
1801405964 Elizabeth Moran Peer Specialist 1600 Broad Ave, Gulfport, MS 39501-3603 2020-07-24
1013526177 June Boudreaux Peer Specialist 1600 Broad Ave, Gulfport, MS 39501-3603 2020-07-24
1316555329 Madeline Nicklas Peer Specialist 1600 Broad Ave, Gulfport, MS 39501-3603 2020-07-15
1962031468 Frank Pace Peer Specialist 152 Highway 7 S, Oxford, MS 38655-5392 2020-04-06
1982230058 Hannah Jade Mixon Peer Specialist 152 Highway 7 S, Oxford, MS 38655-5392 2020-03-20
1902430887 Telena T Harmon Peer Specialist 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 2020-02-28
Find all providers with the same taxonomy

Competitor

Search similar providers

City GAUTIER
Zip Code 39553

Improve Information

Please comment or provide details below to improve the information on ELIZABETH ANN SHEPARD-BYNUM.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches