Brandy Louise Shoemaker

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

N8A130500136 Issued in WV

Practice address

166 Sandy LN
Fort Ashby, WV 26719-7124

Phone

(304) 788-5467

Fax

(304) 788-6363

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

Yes

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

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1740932680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SANDY LN",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267197124",
            "telephone_number": "301-268-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SANDY LN",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267197124",
            "telephone_number": "304-788-5467",
            "fax_number": "304-788-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "BRANDY",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WV",
            "license": "N8A130500136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline J Ross, PTA
• Same (Association of Psychological and Psychiatric Services)
• Savalot Phcy of Ft Ashby Inc (Savalot Pharmacy of Ft Ashby Inc)
• Angela Saville
• Travis Senn
• Rae Ann Smith, OTD, OTR/L
• Paula Jean Steffler
• Patricia Ann Stump
• Joshua T Sutphin
• Donna Swick

• Early Intervention Provider Agency in Fort Ashby, WV
• Providers in Fort Ashby, WV by specialty
• Early Intervention Provider Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.