SHELLY MARIE EDWARDS (NPI# 1194346643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194346643 |
| Entity Type | Individual |
| Full Name | SHELLY MARIE EDWARDS |
| Practice Address |
7800 Wilkinson Blvd Charlotte NC 28214-9148 |
| Mailing Address |
Po Box 667812 Charlotte NC 28266-7812 |
| Practice Telephone | 7049303125 |
| Mailing Telephone | 7049303125 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104082569 | Shelly Lynn Edwards | Social Worker | 1333 Wrens Nest Way, Northport, AL 35476-4177 | 2008-08-04 |
| 1902802887 | Shelly J Edwards | Marriage & Family Therapist | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2005-06-24 |
| 1245671122 | Shelly Ann Edwards | Nurse Practitioner | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2013-07-08 |
| 1821051327 | Shelly L Edwards | Psychologist | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2006-04-07 |
| Street Address |
7800 WILKINSON BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28214-9148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 1104473974 | Daquan Ford | Technician | 7011 Hunters Glen Drive, Charlotte, NC 28214 | 2019-08-26 |
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1912481029 | Charlotte Afriyie | Behavior Technician | 2122 Sonoma Valley Drive, Charlotte, NC 28214 | 2018-09-25 |
| 1588161350 | Future Impression | Counselor | 619 Sullivan Street, Charlotte, NC 28214 | 2018-04-09 |
| 1588072326 | Key Choice Counseling | Community/Behavioral Health | 2909 Berry Creek Rd., Charlotte, NC 28214 | 2014-07-24 |
| 1255751699 | Joyce Patterson Melton | Registered Nurse | 7409 Pawtuckett Rd, Charlotte, NC 28214 | 2014-04-24 |
| 1407271109 | Central Carolina Medical Clinic, Pa | Internal Medicine | 515 Little Rock Road, Charlotte, NC 28214 | 2014-03-04 |
| 1063764702 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 5917 Rowan Way, Charlotte, NC 28214 | 2012-10-04 |
| 1043569460 | Loretta Massey | Social Worker | 2202 Lisa Carole Drive, Charlotte, NC 28214 | 2012-08-30 |
| Find all providers in zip 28214 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053943514 | Teniece R Tarver | Homemaker | 7436 William Reynolds Dr, Charlotte, NC 28215-2349 | 2020-02-12 |
| 1427614791 | Inisha B Sams | Homemaker | 2017 Sonoma Valley Dr, Charlotte, NC 28214-7703 | 2019-05-13 |
| 1508222142 | New Life In Home and Therapeutic Care LLC | Homemaker | 13421 Arbor Trace Dr Apt 204, Charlotte, NC 28273-7074 | 2016-01-12 |
| 1841811403 | Latoya Crockett | Homemaker | 3325 Washburn Ave, Charlotte, NC 28205-7024 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028704 | Natalie N Honeycutt | Homemaker | 1447 19th Ave Ne, Hickory, NC 28601-2159 | 2020-06-17 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1750924296 | Meskerem Bzaga | Homemaker | 624 Belle Gate Pl, Cary, NC 27519-8958 | 2019-10-28 |
| 1114586906 | Trinea Jones | Homemaker | 19071 North Carolina Highway 903, Robersonville, NC 27871 | 2019-06-06 |
| 1144888488 | Destinee Markia Gardner | Homemaker | 525 Seville Rd, Greenville, NC 27834-4890 | 2019-06-02 |
| 1598321432 | Tammy Squires Lee | Homemaker | 1820 Ambrose Ln, Farmville, NC 27828-9510 | 2019-05-16 |
| 1407343957 | Lekeysha Ayenumelo | Homemaker | 1408 Hampstead Dr, High Point, NC 27260-4237 | 2018-04-20 |
| 1124526843 | David Doerr | Homemaker | 52 Montpelier Ln, Clayton, NC 27527-4230 | 2018-01-28 |
| 1881048858 | Owens Therapeutic Services, LLC | Homemaker | 2258 W Roosevelt Blvd Ste D, Monroe, NC 28110-3090 | 2016-04-15 |
| 1184024275 | Sonya Wilson | Homemaker | 3218 Glenmore Dr, Hope Mills, NC 28348-1701 | 2014-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.