SHAMEKIA NICHOLS (NPI# 1891316006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891316006 |
| Entity Type | Individual |
| Full Name | SHAMEKIA NICHOLS |
| Practice Address |
1377 Johnny Johnson Dr Brookhaven MS 39601-9641 |
| Mailing Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 6019902398 |
| Mailing Telephone | 7692515550 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1377 JOHNNY JOHNSON DR |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-9641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150126 | Earlisa Thompson | Counselor | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-10-06 |
| 1265040992 | Ju'daijah Banks | Counselor | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-07-20 |
| 1831713882 | Katressia Antwanette Wilson | Counselor | 1377 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2020-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164966453 | Nicole J. Pechter | Social Worker | 1930 N Druid Hills Rd Ne, Brookhaven, GA 30319-6009 | 2016-12-06 |
| 1225408149 | Rachel Tirelli | Social Worker | 16 Beaverbrook Dr, Brookhaven, NY 11719-9404 | 2015-10-05 |
| 1134538705 | Dorine D'angelo | Social Worker | 60 Edgar Ave, Brookhaven, NY 11719-9657 | 2014-08-08 |
| 1093314478 | Kalyn Danielle Wilson | Social Worker | 2801 Buford Hwy Ne Ste T60, Brookhaven, GA 30329-2145 | 2020-10-18 |
| 1497362792 | Eximen Benira Dulcio | Social Worker | 3103 Clairmont Rd Ne, Brookhaven, GA 30329-1043 | 2020-09-30 |
| 1568839785 | Stacy Frances Gordon | Social Worker | 36 Edgar Ave, Brookhaven, NY 11719-9655 | 2015-08-24 |
| 1861734279 | Chris Genovese | Social Worker | 36 Edgar Ave, Brookhaven, NY 11719-9655 | 2013-03-24 |
| 1710215066 | Marcia Mccarroll | Social Worker | 36 Edgar Ave, Brookhaven, NY 11719-9655 | 2009-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1447868385 | Damaris Gomez-gliliam | Social Worker | 7921 Chesterfield Dr S, Southaven, MS 38671-6202 | 2020-07-16 |
| 1346864915 | Camp Reloaded LLC | Social Worker | 513 N Hayden St, Belzoni, MS 39038-3615 | 2020-05-29 |
| 1043833064 | Rachel C Denson | Social Worker | 2007 Wildwood Dr, Picayune, MS 39466-2178 | 2020-05-26 |
| 1417579137 | Jariva King | Social Worker | 9245 Cuandet Rd Apt 96, Gulfport, MS 39503-4763 | 2020-05-15 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1114563087 | Cory Dedual | Social Worker | 425 N Beech St, Picayune, MS 39466-3811 | 2019-11-26 |
| 1225671944 | Zakiya Anderson | Social Worker | 7572 Southaven Cir W, Southaven, MS 38671-5230 | 2019-10-25 |
| 1073167029 | Marjhaun Z Jackson | Social Worker | 19464 Highway 61 N, Lyon, MS 38645-9785 | 2019-07-29 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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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.