SHANE LEE WHITESIDE
NPI 1174174502
Peer Specialist in Oxford, MS

Active since September 26, 2019
152 HIGHWAY 7 S, OXFORD, MS 38655(662) 234-7521(662) 236-3071 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Lee Whiteside NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE LEE WHITESIDE (NPI 1174174502) is an individual peer specialist in Oxford, Mississippi and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1174174502
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHANE LEE WHITESIDE
Location Address152 HIGHWAY 7 SOxford, MS 38655-5392
Mailing Address5280 County Road 220Water Valley, MS 38965-6221
Fax(662) 236-3071
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
NPI 1174174502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
152 HIGHWAY 7 S, Oxford, MS 38655

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Professional)
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Whiteside's NPI number?

The NPI number for Shane Whiteside is 1174174502. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Shane Whiteside located?

Shane Whiteside practices at 152 Highway 7 S, Oxford, MS 38655. The listed phone number is (662) 234-7521.

What is Shane Whiteside's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shane Whiteside was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.