Shelly Dawn Brackett, RN
Individual provider Active NPI Home Health Agency · Spindale, NC
NPI 1386775005 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386775005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HC3484 (NC)
- Practice address
- 1060 Old Ballpark Rd
Lot #1
Spindale, NC 28160-2084 - Phone
- (828) 288-1623
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC3484 | NC | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3484 | NC | Yes |
Addresses
Primary practice location
1060 Old Ballpark Rd
Lot #1
Spindale, NC 28160-2084
Mailing address
1060 Old Ballpark Rd
Lot #1
Spindale, NC 28160-2084
Phone (828) 288-1623
Other providers in Spindale, NC
- Brian Caleb Bloem
- Blue Ridge Community Health Services, Inc.
- Blue Ridge Community Health Services, Inc.
- Bodymasters
- Angel Lynn Boyd
- Breakthrough Chiropractic Clinic, PA
- David Briscoe III
- Robin Elaine Bumgardner
- Matilda Mae Butler
- Lalisa Greene Carpenter
All providers in Spindale, NC · Home Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.