SHADELL MURRAY (NPI# 1013552652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013552652 |
| Entity Type | Individual |
| Full Name | SHADELL MURRAY |
| Credential | RN |
| Practice Address |
109 W Main St Moncks Corner SC 29461-2673 |
| Practice Telephone | 8437194610 |
| Mailing Telephone | 8437194610 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN232855 | GA | Nursing Service Providers |
| Street Address |
109 W MAIN ST |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679055370 | Kathleen Bailey Moore | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-30 |
| 1376023358 | Carlie Mzik | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-18 |
| 1063906683 | Appollonia Speights Washington | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-06-18 |
| 1285171694 | Stacy Gaillard | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2017-01-23 |
| 1831643675 | Melissa Jean Cardwell | Licensed Practical Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2016-08-10 |
| 1093103327 | Stephanie B Corpolongo | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2015-01-09 |
| 1477941995 | Leeann Fuerst | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2015-01-06 |
| 1013324482 | Pamela Dean | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2014-07-17 |
| 1265851885 | Martha Fletcher | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2014-04-10 |
| 1174942734 | Shaniqua Dawn Alston | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2014-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407401003 | Carolyn F Perez | Registered Nurse | 625 Woolum Dr, Moncks Corner, SC 29461-6490 | 2019-08-09 |
| 1326441882 | Donna Williams | Registered Nurse | 219 Lois Cir, Moncks Corner, SC 29461-4208 | 2014-09-29 |
| 1376023358 | Carlie Mzik | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-18 |
| 1063906683 | Appollonia Speights Washington | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-06-18 |
| 1265851885 | Martha Fletcher | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2014-04-10 |
| 1518384270 | Rebecca Robberson | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2014-03-19 |
| 1063838803 | Sandy Moore | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
| 1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
| 1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
| 1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
| 1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
| 1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
| 1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
| 1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
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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.