SHELLYANN KORNEGAY-BROOKS (NPI# 1023496627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023496627 |
| Entity Type | Individual |
| Full Name | SHELLYANN KORNEGAY-BROOKS |
| Credential | LPN |
| Practice Address |
2512 Dunlavin Way Charlotte NC 28205-3588 |
| Mailing Address |
2512 Dunlavin Way Apt K Optional Charlotte NC 28205-3466 |
| Practice Telephone | 7042283782 |
| Mailing Telephone | 8038002160 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 39814 | SC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PERMANENT CARD | 203045590 | 01 |
| Street Address |
2512 DUNLAVIN WAY |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205-3588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889890 | Monica Ann Salazar | Licensed Practical Nurse | 142 S Yule Ave # 303, Charlotte, TX 78011-3484 | 2020-07-23 |
| 1871156174 | Victoria Ward | Licensed Practical Nurse | 8801 J M Keynes Dr Ste 230, Charlotte, NC 28262-5514 | 2019-04-22 |
| 1427519867 | Joyce A Craven | Licensed Practical Nurse | 508 Hughes, Charlotte, MI 48813-8433 | 2019-03-28 |
| 1053774323 | Fatima Wilds | Licensed Practical Nurse | 8643 Bodkin Ct, Charlotte, NC 28215-7358 | 2016-04-03 |
| 1992165310 | Yvonne Evins Saunders | Licensed Practical Nurse | 5227 Eagle Creek Dr, Charlotte, NC 28269-1575 | 2016-02-26 |
| 1316314339 | Bernice Colegrove | Licensed Practical Nurse | 1032 N Stewart Rd, Charlotte, MI 48813-9355 | 2015-08-25 |
| 1033502927 | Tiwana Stampley | Licensed Practical Nurse | 5103 Milhaven Ln, Charlotte, NC 28269-2719 | 2015-03-17 |
| 1275825218 | Yolanda A Lawrence | Licensed Practical Nurse | 11817 Cheviott Hill Ln, Charlotte, NC 28213-3899 | 2011-05-10 |
| 1386976108 | Stephanie Denise Smith | Licensed Practical Nurse | 14117 Laurel Trace Dr, Charlotte, NC 28273-5699 | 2010-02-03 |
| 1043451974 | Rosa Anna Dileo | Licensed Practical Nurse | 7906 Lawyers Rd, Charlotte, NC 28227-4955 | 2009-03-24 |
| Find all providers in CHARLOTTE | ||||
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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.