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Active NPI 1518883636 Individual Practitioner Female Practitioner

Shadekra Stasher

Licensed Practical Nurse • Canton, MS

Professional Overview & Biography Verified Profile Summary

Shadekra Stasher is a registered healthcare professional specializing in Licensed Practical Nurse in Canton, MS. Practice services are available at 168 HARVEY CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

168 Harvey Cir

Canton, MS 390464560

Telephone 6017182468
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Canton, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Canton, MS (263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-24
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MS 341595

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Jamaal Murriel , MS, PCAT, PCMHT

Counselor - Addiction (Substance Use Disorder)

NPI 1003485798

Master of Science, PCAT, PCMHT

George Gully , LPN

Licensed Practical Nurse

NPI 1003579509

Licensed Practical Nurse

Denesha Spencer

Licensed Practical Nurse

NPI 1043887185
Shaneika Parker , LPN

Licensed Practical Nurse

NPI 1134909229

Licensed Practical Nurse

William Craven

Clinic/Center - Methadone

NPI 1184314064
Joshua Goeglein , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1225711336

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 24, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2026

Registered at 168 HARVEY CIR, CANTON, MS 390464560 (Tel: 6017182468)

📍
Updated Business Mailing Address June 24, 2026

Registered at 168 HARVEY CIR, CANTON, MS 390464560

👤
Provider Name / Credentials Updated June 24, 2026

Recorded as SHADEKRA STASHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2026

Licensed Practical Nurse (License #341595 in MS)

🟢
Initial NPI Registration & Enumeration June 24, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518883636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2026
Last Update: June 24, 2026
Sole Proprietor: Yes

Mailing Address

168 Harvey Cir

Canton, MS 390464560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.