Brandy Dawn Shaeffer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

68277 Issued in NM

Practice address

1005 Lujan Hill Rd
Las Cruces, NM 88007-6304

Phone

(575) 523-4573

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1679293666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S WILLOW ST STE 128",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035723",
            "telephone_number": "800-995-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 LUJAN HILL RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076304",
            "telephone_number": "575-523-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAEFFER",
        "first_name": "BRANDY",
        "middle_name": "DAWN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.165653.MEDS-IV",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "68277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarmeena Sethar
• Cynthia Rivas Settles, M.D.
• Susana Sexauer, RDH
• Sijuola Shabazz
• Shadow & Chocolate Consulting by Kristine Drake
• Ussama Shafaqat, M.D
• Muhammad Nabeel Shafqat, M.D.
• Zahra Shaghaghi, PHARM-D
• Jay Shah
• Kruti Gitesh Shah, MBBS

• Licensed Practical Nurse in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Licensed Practical Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.