Julia Q Brackett

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201011 Issued in NC

Practice address

315 E Grover St
Shelby, NC 28150-3919

Phone

(704) 484-5100

NPI assigned

Feb 19, 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447394614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MARKWAY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503919",
            "telephone_number": "704-484-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "JULIA",
        "middle_name": "Q",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yves Boudreau, MD
• Daniqua Tishawn Boulware, LCSW
• Boundless Home Care
• Boundless Miracles, LLC
• Tanzza Marie Bowman, FNP-BC
• George Lee Bradley, DO
• Roslyn Vinson Braggs, PMHNP
• Michael Brame, M.D.
• Janet Marie Brandon, PA-C
• Cassidy Branham, PT, DPT

• Family Nurse Practitioner in Shelby, NC
• Providers in Shelby, NC by specialty
• Family Nurse Practitioner in North Carolina

• 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.