BRENDA JOANNE SHAW (NPI# 1003134578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003134578 |
| Entity Type | Individual |
| Full Name | BRENDA JOANNE SHAW |
| Practice Address |
127 Slow Mill Dr Goose Creek SC 29445-9614 |
| Practice Telephone | 8432029888 |
| Mailing Telephone | 8432029888 |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2010-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | 3-10-46326 | SC | Nursing Service Related Providers |
| Y | 372600000X | Adult Companion | 3-10-46326 | SC | Nursing Service Related Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
3-10-46326 | Nursing Service Related Providers | |
| N | 374U00000X | Home Health Aide | 3-10-46326 | SC | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679642037 | Brenda J Shaw | Physician Assistant | 1660 John Adams Pkwy, Idaho Falls, ID 83401-4360 | 2006-11-07 |
| Street Address |
127 SLOW MILL DR |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-9614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829888 | Rodseline Ann Graffreaid | Adult Companion | 716 E Fairfield Rd Ste 110, Greenville, SC 29605-3688 | 2020-10-23 |
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1205464484 | Latricia Trapp | Adult Companion | 7356 Garners Ferry Rd Ste 114, Columbia, SC 29209-2146 | 2020-04-01 |
| 1265064679 | Cater To Needs | Adult Companion | 300 John St Ste 6b, Greer, SC 29651-1463 | 2020-02-04 |
| 1558992107 | Jasmin Simone Morris | Adult Companion | 112 Thomas Ranch Rd, Union, SC 29379-8037 | 2020-02-03 |
| 1972134542 | Icare Home Solutions, LLC | Adult Companion | 1501 Belle Isle Ave, Suite 110, Mount Pleasant, SC 29464-8379 | 2020-01-31 |
| 1407404437 | Brooklyn Mitchell | Adult Companion | 1595 Lewis Rd, Sumter, SC 29154-7351 | 2019-09-03 |
| 1982252052 | Sheena Locklear | Adult Companion | 560 Preston Brook Dr, Catawba, SC 29704-9711 | 2019-08-30 |
| 1780238394 | Michaelas Angelic Caregivers LLC | Adult Companion | 455 St Andrews Rd Bldg D, Suite 3a, Columbia, SC 29210-4486 | 2019-07-31 |
| 1811556848 | Mi'angels Caretakers LLC | Adult Companion | 942 Dougherty Rd Ste C, Aiken, SC 29803-6559 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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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.