Shardiann Brannelly

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

696533 Issued in CA

Practice address

154 Sage St
Citrus Heights, CA 95621-0264

Phone

(718) 683-1433

NPI assigned

Apr 14, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523664000000",
    "number": "1235626367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 SAGE ST",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956210264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 SAGE ST",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956210264",
            "telephone_number": "718-683-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNELLY",
        "first_name": "SHARDIANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "696533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lynn Shultz Braid, D.O.
• Lizbeth Judith Brambila
• Rachel Jane Brandeberry
• William Henry Brandom, PH.D, BCBA-D
• Brandt Group Homes Inc
• Taylor Bratsch
• Ella M Braun
• Brea Citrus Heights, LLC
• Brea Village Citrus Heights, LLC
• Anna Rose Brennan

• Licensed Vocational Nurse in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; 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.