Mrs Miyoshi Umeakiiretta Sullivan, is a
Student In An Organized Health Care Education/training Program based in Shreveport, Louisiana. Mrs Miyoshi Umeakiiretta Sullivan is licensed to practice in Louisiana (license number 107759) and her current practice location is
8918 Beau Chasse Dr, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 458-8025.
NPI number for Mrs Miyoshi Umeakiiretta Sullivan is 1356202527 and her current mailing address is 8918 Beau Chasse Dr, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356202527.
Provider's Profile
| Full Name | Mrs Miyoshi Umeakiiretta Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 8918 Beau Chasse Dr, Shreveport, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356202527
- Provider Enumeration Date: 11/18/2025
- Last Update Date: 11/18/2025
Medical Identifiers
Medical identifiers for Mrs Miyoshi Umeakiiretta Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356202527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 107759 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 107759 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Miyoshi Umeakiiretta Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Miyoshi Umeakiiretta Sullivan, 8918 Beau Chasse Dr, Shreveport, LA 71115-2774 Ph: (318) 458-8025 | Mrs Miyoshi Umeakiiretta Sullivan, 8918 Beau Chasse Dr, Shreveport, LA 71115-2774 Ph: (318) 458-8025 |
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