SHELLEY LADD BREWER (NPI# 1760773055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760773055 |
| Entity Type | Individual |
| Full Name | SHELLEY LADD BREWER |
| Credential | FNP |
| Practice Address |
1950 Dupont Road Building 525, Medical Department New Johnsonville TN 37134 |
| Mailing Address |
Po Box 219 1950 Dupont Road New Johnsonville TN 37134-0219 |
| Practice Telephone | 9315357216 |
| Practice Fax Number | 9315357699 |
| Mailing Telephone | 9315357216 |
| Mailing Fax Number | 9315357699 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
15779 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1950 DUPONT ROAD BUILDING 525, MEDICAL DEPARTMENT |
| City | NEW JOHNSONVILLE |
| State | TN |
| Zip Code | 37134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265607329 | Mcewen Drug | Pharmacy | 562 Broadway Ave, New Johnsonville, TN 37134-2130 | 2008-04-29 |
| 1811329261 | Sawyer Madison LLC | Pharmacy | 990 Broadway Ave, New Johnsonville, TN 37134-2148 | 2013-08-07 |
| 1154786622 | Country Escape Therapy | Health Maintenance Organization | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2015-12-28 |
| 1386196624 | Margaret Lawson | Massage Therapist | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2016-11-03 |
| 1568823250 | Terri Crum | Massage Therapist | 501 Flatwood Rd, New Johnsonville, TN 37134-2159 | 2016-03-09 |
| 1316098858 | George Thottakara Mathai | Family Medicine | 224 Long St, New Johnsonville, TN 37134-2468 | 2007-01-12 |
| 1558553727 | Dr George T Mathai Pllc | Family Medicine | 224 Long St, New Johnsonville, TN 37134-2468 | 2007-08-13 |
| 1083870901 | Jan Walls | Speech-Language Pathologist | 852 Asbury Dr, New Johnsonville, TN 37134-9673 | 2008-07-30 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW JOHNSONVILLE |
| Zip Code | 37134 |
Please comment or provide details below to improve the information on SHELLEY LADD BREWER.
| 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.