Shelley Bilodeau
Individual provider Active NPI Licensed Practical Nurse · Columbia, TN
NPI 1619437423 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1619437423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0000090487 (TN)
- Practice address
- 1909 Hampshire Pike
Columbia, TN 38401-5650 - Phone
- (931) 388-5757
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000090487 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0000090487 | TN | Yes |
Addresses
Primary practice location
1909 Hampshire Pike
Columbia, TN 38401-5650
Mailing address
1909 Hampshire Pike
Columbia, TN 38401-5650
Phone (931) 388-5757
Other providers in Columbia, TN
- E Thomas Bernhoffer
- Nancy Berry
- Russell J Berscheid
- Elizabeth Marie Biache
- Angel Billingsley
- Britt Kendall Birdwell
- Schelby Hanson Blair
- Eboni N Blakely
- Pamela Kaye Blanton
- Julian Blaseio
All providers in Columbia, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2019. 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.