MS. SHEILA LEE SHIPMAN (NPI# 1184830580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184830580 |
| Entity Type | Individual |
| Full Name | MS. SHEILA LEE SHIPMAN |
| Credential | IDC |
| Practice Address |
Nmcb Seven Unit 60252 Gulfport MS 34099-5061 |
| Mailing Address |
3513 Beasley Rd Apt 5f Gautier MS 39553-5032 |
| Practice Telephone | 2288712810 |
| Practice Fax Number | 2288712135 |
| Mailing Telephone | 2283835888 |
| Mailing Fax Number | 2288712135 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
NMCB SEVEN UNIT 60252 |
| City | GULFPORT |
| State | MS |
| Zip Code | 34099-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649545542 | Omar Anibal Decastro-sosa | Military Health Care Provider | Nmcb One, Unit 60251, Fpo, AA 34099 | 2012-03-12 |
| 1124203187 | James Sheldon Burnett | Military Health Care Provider | Nmcb 74, Unit 60243, Gulfport, MS 34099 | 2008-01-08 |
| 1699971622 | Jeffrey Walter Melancon | Military Health Care Provider | Nmcb 74 Unit 60253, Fpo, AA 34099 | 2007-06-26 |
| 1780897207 | Jack Warren Campbell | Military Health Care Provider | Nmcb 133, Fpo, AA 34099 | 2007-05-08 |
| 1053524579 | Robert James Taweel | Military Health Care Provider | Nmcb 133, Unit 60254, Fpo, AA 34099 5041 | 2007-05-08 |
| 1083812820 | Patrick Mckenna | General Practice | Comdesron 14, Medical Department, Fpo, AA 34099-4716 | 2007-07-03 |
| 1942547450 | Thomas R. Grissom | Military Health Care Provider | Naval Mobile Construction Battalion One, Unit 60251, Fpo, AA 34099-4900 | 2013-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1225637424 | Milagros H. Walker | Pharmacist | 2119 Lindhridge Dr, Gulfport, MS 39507-3765 | 2020-10-20 |
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1932706306 | Brenyatta Travis | Dentist | 28 Pass Rd Ste 300, Gulfport, MS 39507-3244 | 2020-10-07 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1619582418 | Monica Jean Davis | Counselor | 1601 49th St S, Gulfport, FL 33707-4340 | 2020-09-09 |
| 1033723093 | Amber Ryals | Registered Nurse | 13236 Anne Ct, Gulfport, MS 39503-8138 | 2020-09-06 |
| 1235740465 | Greatta Hodges | Home Health | 12089 George St, Gulfport, MS 39503-4360 | 2020-08-11 |
| 1275143323 | Sartin's Discount Drugs, Inc | Pharmacy | 4300 15th St Ste 1, Gulfport, MS 39501-2524 | 2020-08-04 |
| 1023635356 | Royalty Home Care Health Care Business | Home Health Aide | 1073 Acadian Dr Ste B, Gulfport, MS 39507-3538 | 2020-07-02 |
| Find all providers in GULFPORT | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528515046 | Nicolas Riley | Military Health Care Provider | 5501 Marvin Shields Blvd., Gulfport, MS 39501-5007 | 2016-09-01 |
| 1477932200 | Michael Alexander Boartfield | Military Health Care Provider | 4033a Mallard Cv, Gulfport, MS 39501-2833 | 2015-05-26 |
| 1336536531 | Jeffrey Alexander Leemauk | Military Health Care Provider | 4010a Blue Heron Way, Gulfport, MS 39501-2815 | 2015-04-25 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| 1427316041 | Jeremiah John Baldwin | Military Health Care Provider | 5303 Marvin Shields Blvd, Gulfport, MS 39501-9013 | 2012-05-02 |
| 1245563162 | Jenesia Arielle Dillow Ordonia | Military Health Care Provider | 3158b Holloway Dr, Gulfport, MS 39501-9030 | 2009-09-10 |
| 1326298795 | Greg Allan Lassiter | Military Health Care Provider | 3110 B Seagull St, Gulfport, MS 39501 | 2008-09-23 |
| 1124203187 | James Sheldon Burnett | Military Health Care Provider | Nmcb 74, Unit 60243, Gulfport, MS 34099 | 2008-01-08 |
| 1104006246 | Jeremy Louis Stover | Military Health Care Provider | 55101 Marvin Shields Blvd, Gulfport, MS 39501 | 2007-11-06 |
| 1558576702 | Kevin Richard Mattos | Military Health Care Provider | Marvin Shields Blvd, Cbc Gulfport, Gulfport, MS 39501-0000 | 2007-05-11 |
| Find all providers in GULFPORT | ||||
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| 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.