Shambreka Eaddy

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

51319 Issued in SC

Practice address

661 S Aline St
Florence, SC 29506-3203

Phone

(843) 758-2454

NPI assigned

Jul 19, 2025

Last updated

Jul 19, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care Faith LLC

  • Health Service Clinic/Center
  • Florence, SC
  • NPI 1386492486
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1205728573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 NORFOLK ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295066403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S ALINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295063203",
            "telephone_number": "843-758-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADDY",
        "first_name": "SHAMBREKA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "51319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Leonard Duwell, DDS,FAGD,MAGD
• Dynamic Development, LLC
• Dynamic Physical Therapy & Rehabilitation Center LLC
• Donna Elizabeth Dynan, OTR/L
• McKenna Dynan
• Eads Chiropractic Wellness
• Ear, Nose & Throat Associates of Florence
• John Breeden Early Jr., DMD
• Stacie Patrice Eason
• East Carolina Hearing (Ears 2 Hear)

• Licensed Practical Nurse in Florence, SC
• Providers in Florence, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.