DR. HEATHER BROOKE ELLISON (NPI# 1487935094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487935094 |
| Entity Type | Individual |
| Full Name | DR. HEATHER BROOKE ELLISON |
| Credential | DC |
| Practice Address |
513 S Dekalb St Shelby NC 28150-5926 |
| Practice Telephone | 7044069939 |
| Practice Fax Number | 7044069940 |
| Mailing Telephone | 7044069939 |
| Mailing Fax Number | 7044069940 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2015-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4192 | NC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| Street Address |
513 S DEKALB ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303291 | Leslie H English | Family Medicine | 513 S Dekalb St, Shelby, NC 28150-5926 | 2020-10-09 |
| 1073922159 | Chiropractic Physicians of The Carolinas | Chiropractor | 513 S Dekalb St, Shelby, NC 28150-5926 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871996405 | Prime Health Chiropractic | Chiropractor | 615 S Dekalb St Ste B, Shelby, NC 28150-6185 | 2014-09-26 |
| 1578731337 | Mark W Cook Pa | Chiropractor | 119-a West Marion St, Shelby, NC 28150-5381 | 2008-02-14 |
| 1780714030 | Donald Benton Lash | Chiropractor | 100 N Gamble St, Shelby, OH 44875 | 2007-03-06 |
| 1760521686 | Mark William Hogue | Chiropractor | 100 North Gamble Street, Shelby, OH 44875 | 2007-02-06 |
| 1265591978 | Brad David Londre | Chiropractor | 518 S Dekalb St, Shelby, NC 28150-5927 | 2006-12-08 |
| 1194884106 | Dennis Robert Reno | Chiropractor | 210 E Grover St, Shelby, NC 28150-3918 | 2006-12-06 |
| 1043316599 | Patricia Mariann Carroll-fackler | Chiropractor | 177 West Main St, Shelby, OH 44875 | 2006-09-15 |
| 1407801616 | Richard H Berkowitz | Chiropractor | 145 W Dixon Blvd, Shelby, NC 28152-6546 | 2006-05-24 |
| 1720070766 | Mark William Cook | Chiropractor | 215 E Warren St, Suite B, Shelby, NC 28150-2611 | 2005-08-16 |
| 1578160263 | Luis Xavier Lopez | Chiropractor | 210 E Grover St, Shelby, NC 28150-3918 | 2020-10-06 |
| Find all providers in SHELBY | ||||
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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.