MRS. RACHEAL ELLIOTT SHADDEAU (NPI# 1629478730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629478730 |
| Entity Type | Individual |
| Full Name | MRS. RACHEAL ELLIOTT SHADDEAU |
| Credential | FNPC |
| Practice Address |
501 Main St Gatesville NC 27938-9424 |
| Practice Telephone | 2523571226 |
| Practice Fax Number | 2523571236 |
| Mailing Telephone | 2523571226 |
| Mailing Fax Number | 2523571236 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2016-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
132796 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 MAIN ST |
| City | GATESVILLE |
| State | NC |
| Zip Code | 27938-9424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514025 | Anne Marie Monte-parker | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2019-08-20 |
| 1295224772 | Candice S Mathis | Pharmacist | 501 Main St, Gatesville, NC 27938-9424 | 2018-05-09 |
| 1588039036 | Shelley Ann Smith | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2015-12-09 |
| 1205241387 | Gateway Community Health Centers, Inc | Clinic/Center | 501 Main St, Gatesville, NC 27938-9424 | 2014-06-26 |
| 1588078000 | La Tasha Al-jarboua | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2014-06-12 |
| 1093071011 | Abigail Claudia Bivans | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2012-04-03 |
| 1518247576 | Gateway Community Health Centers, Inc. | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2011-08-23 |
| 1639217631 | Gates County Medical Center LLC | Clinic/Center | 501 Main St, Gatesville, NC 27938-9424 | 2007-02-02 |
| 1700944238 | Suzanne Gardiner Mahar | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2006-12-05 |
| 1255392197 | James Wayne Blanton | Family Medicine | 501 Main St, Gatesville, NC 27938-9424 | 2006-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739877 | Todds Pharmacy of Gates Co Inc | Pharmacy | 504 Main St., Gatesville, NC 27938 | 2017-02-23 |
| 1306226253 | Gates House, LLC | Assisted Living Facility | 11 Commerce Drive, Gatesville, NC 27938 | 2015-06-05 |
| 1679705958 | Intensive Mental Care Inc | Community/Behavioral Health | 102 West Mapel Street, Gatesville, NC 27938 | 2009-08-20 |
| 1891831541 | John Burton Sledge Jr. | Pediatrics | Gates Correctional Center 308 Us Highway 158w, Gatesville, NC 27938 | 2007-01-29 |
| 1144716903 | Liberty Healthcare Group LLC | Home Health | 212 Main Street, Gatesville, NC 27938 | 2018-07-05 |
| 1689837841 | Carolinas Home Care Inc | Home Health | 111 Court St, Gatesville, NC 27938 | 2008-07-08 |
| 1073739561 | Coastal Rehabilitation Inc | Occupational Therapist | 501 Main Street, Gatesville, NC 27938 | 2007-04-17 |
| 1033203328 | Todds Pharmacy of Gates County | Pharmacy | 504 Main St, Gatesville, NC 27938 | 2006-10-03 |
| 1265686406 | Associates United Corporation | Community/Behavioral Health | 102 West Maple St, Gatesville, NC 27938-0102 | 2008-11-14 |
| 1164852935 | The Davis Housing Group | Case Management | 26 Langston Ln, Gatesville, NC 27938-9300 | 2013-11-15 |
| Find all providers in zip 27938 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336487644 | Melvin None Wright | Nurse Practitioner | 401 Riata, 401 Riata, Gatesville, TX 76528-2696 | 2013-01-21 |
| 1982825550 | Lana Cliett Brunett | Nurse Practitioner | 1401 State School Rd., Gatesville, TX 76599 | 2007-05-01 |
| 1518514025 | Anne Marie Monte-parker | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2019-08-20 |
| 1316427883 | Kelli Dudley | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-08-15 |
| 1912485293 | Alecia Nicole Eads | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-07-30 |
| 1679065833 | Ashley Lynette Stephens | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-06-04 |
| 1295241305 | Kerry Zacharias | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-12-27 |
| 1588039036 | Shelley Ann Smith | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2015-12-09 |
| 1598136418 | Crystal Dowell | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2015-10-19 |
| 1467840629 | Keri Tatum | Nurse Practitioner | 227 Memorial Dr, Gatesville, TX 76528-1028 | 2014-12-22 |
| Find all providers in GATESVILLE | ||||
| City | GATESVILLE |
| Zip Code | 27938 |
Please comment or provide details below to improve the information on MRS. RACHEAL ELLIOTT SHADDEAU.
| 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.