Marshetta Shavon Brazley, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

07661

Practice address

1119 Old Humboldt Rd
Jackson, TN 38305-1752

Phone

(731) 668-3888

Fax

(731) 668-1666

NPI assigned

Apr 10, 2007

Sex

Female

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

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.

• Star Center, Inc.

  • Rehabilitation Clinic/Center
  • Jackson, TN
  • NPI 1588738157
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417170291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MOSS HOLLOW CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 OLD HUMBOLDT RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051752",
            "telephone_number": "731-668-3888",
            "fax_number": "731-668-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZLEY",
        "first_name": "MARSHETTA",
        "middle_name": "SHAVON",
        "name_prefix": "Ms.",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "07661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Braddock, LMFT
• Aaron Scott Brakhane, LCSW
• Leigh Ann Brandeberry, APN
• Ginger Brasfield, CRNA
• Amanda K. Braswell, CPNP
• Byron Michael Breeding, PA C
• Ashley Scott Brewer, MD
• Hillary Brewer, FNP
• Lindsay Ramage Brewer, CRNA
• Brian L Sellers OD

• Music Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Music Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.