Shelley Phillips Bandy, CMF,CMF,COF

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

C51438 Issued in NC

Practice address

306 Penny LN
Morehead City, NC 28557-4306

Phone

(252) 773-0904

Fax

(252) 565-1733

NPI assigned

Oct 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Medical Supplies Etc Inc

  dba Medical Supplies Etc

  • Prosthetic/Orthotic Supplier
  • Morehead City, NC
  • NPI 1295280139

  Durable Medical Equipment & Medical Supplies

  NPD (past)

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1295139913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574306",
            "telephone_number": "252-773-0904",
            "fax_number": "252-565-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574306",
            "telephone_number": "252-773-0904",
            "fax_number": "252-565-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "SHELLEY",
        "middle_name": "PHILLIPS",
        "credential": "CMF,CMF,COF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "C51438",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "C51438",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NC",
            "license": "C51438",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "C51438",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "C51438",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "C51438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295280139",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD NC",
            "identifier": "1295280139",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1295280139",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD SC",
            "identifier": "1295280139",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Preston Baker
• Margaret Baker, PTA
• Nicholas Landon Baker, DPT
• Raymond Clyde Ball Jr., DDS MS
• Kristina Marie Bandy, MS, RDN, LDN
• Steven Reid Banks, MD
• Brice Barefoot
• Leslie Mizelle Barefoot, PHARM.D., BCPS
• Grace Mae Barnes
• Mary Allison Barnes, PT, DPT

• Prosthetic/Orthotic Supplier in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.