Heather Brooke Ellison, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4192 Issued in NC

Practice address

513 S Dekalb St
Shelby, NC 28150-5926

Phone

(704) 406-9939

Fax

(704) 406-9940

NPI assigned

Sep 9, 2011

Last updated

Jan 16, 2015By the provider in NPPES

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

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic Physicians of the Carolinas

  • Chiropractor
  • Shelby, NC
  • NPI 1073922159
  Medicare reassignment NPD Authorized official
• Pink Paradise Wellness and Day Spa, LLC

  • Family Nurse Practitioner
  • Shelby, NC
  • NPI 1275114035
  NPD
• Reno Chiropractic Center, P.a.

  • Chiropractor
  • Shelby, NC
  • NPI 1659430676
  NPD (past)
• Shelby Chiropractic PLLC

  dba Reno Chiropractic Center

  • Chiropractor
  • Shelby, NC
  • NPI 1932869013
  NPD (past)

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1487935094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S DEKALB ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505926",
            "telephone_number": "704-406-9939",
            "fax_number": "704-406-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S DEKALB ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505926",
            "telephone_number": "704-406-9939",
            "fax_number": "704-406-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "HEATHER",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Denise Edwards
• Hamid Ehsan, MD
• Stephanie Carlile Elam, NP
• Paisley Polk Elliott, OT
• Javious Ellis, MSW
• Pamela A Ellwood, NP
• Embrace the Moment Birth Services LLC
• Enchanted Home Healthcare
• Wendy Rayfield England, NP
• Leslie H English, FNP-C

• Chiropractor in Shelby, NC
• Providers in Shelby, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.