Shetrelia L Brown

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

021598 Issued in TX

Practice address

1400 Parkside Dr
Mansfield, TX 76063-8618

Phone

(817) 675-8903

NPI assigned

Mar 18, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Treelily Dedicated Home Care Service

  • Personal Care Attendant
  • Mansfield, TX
  • NPI 1689477069

  Respite Care

  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1639938947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PARKSIDE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638618",
            "telephone_number": "682-699-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PARKSIDE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638618",
            "telephone_number": "817-675-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHETRELIA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "TX",
            "license": "021598",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": "021598",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": "021598",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TX",
            "license": "021598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Thomas Brown, M.S. CCC-SLP
• Julie Lynn Brown
• Loretta Ann Brown
• Morgan Brown
• Nicole Brown, NP
• Tina Browning, OTR
• Kamren M Brozovic, DNP, APRN, CNM
• Denise Kay Bruckerhoff, D.O.
• Kara Ann Bruning, NP
• Kyle Barnaby Bryan, LCSW

• Attendant Care Provider in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Attendant Care Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.