Shalisha Danielle Brode

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1042 Georgia Rd
Circleville, OH 43113-1319

Phone

(740) 497-2474

NPI assigned

Nov 10, 2016

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

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1669914404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 GEORGIA RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131319",
            "telephone_number": "740-497-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 GEORGIA RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131319",
            "telephone_number": "740-497-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODE",
        "first_name": "SHALISHA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Boysel
• Regina Ann Boysel
• Cassandra Ann Branson
• Sara Bray, CDCA
• David Leroy Brode
• Lee Ann Brooks, LCDC II
• Rayray Brooks
• Brown Memorial Home, Inc
• Angela Dawn Brown, LCDC-III
• Antoinette Brown

• All providers in Circleville, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.