BREANNE NICOLE SHULTS


Address: 2150 S Nissen Dr, Palmer, AK 99645-9069
Phone: 9079825723

BREANNE NICOLE SHULTS (NPI# 1316246127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316246127
Entity Type Individual
Full Name BREANNE NICOLE SHULTS
Credential CDM
Practice Address 2150 S Nissen Dr
Palmer
AK 99645-9069
Mailing Address 2150 S. Nissen Drive
Palmer
AK 99645
Practice Telephone 9079825723
Mailing Telephone 9079825723
Enumeration Date 2011-03-18
Last Update Date 2011-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 176B00000X Midwife Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK CERTIFIED DIRECT ENTRY MIDWIFE 69 01

Office Location

Street Address 2150 S NISSEN DR
City PALMER
State AK
Zip Code 99645-9069

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295357135 Kasey M Flintoft Occupational Therapist 7200 E. Jim Cottrell Cir, Palmer, AK 99645 2020-05-14
1629601471 Courtney Randol Licensed Practical Nurse 14405 E Pace Dr., Palmer, AK 99645 2020-02-20
1689213092 Valerie Anne Delaune Acupuncturist 9693 N. Little Otter Dr., Palmer, AK 99645 2020-01-02
1003464512 Alaskan Sunrise Behavioral Health, L.L.C. Clinic/Center 14460 E. Pace Dr., Palmer, AK 99645 2019-08-28
1548814718 Maple Springs of Palmer Snf Holdings, LLC Skilled Nursing Facility 12130 E Maple Springs Way, Palmer, AK 99645 2019-07-26
1952868655 Carla Beth Kelly Physical Therapist 7200 Jim Cottrell Circle, Palmer, AK 99645 2019-02-28
1366938375 Wendy S Page Behavior Technician 7200 E Jim Cottrell, Wasilla, AK 99645 2018-07-03
1154845170 Sarah Elizabeth Gilliland Occupational Therapist 7200 E Jim Cottrell Circle, Palmer, AK 99645 2017-08-01
1558885137 Garland Brooks Massage Therapist 1934 Prospect Dr, Palmer, AK 99645 2017-07-26
1386165009 Sommer Dawn Nielsen Massage Therapist 3566 N Mars Ave., Palmer, AK 99645 2017-07-03
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Taxonomy Information

Taxonomy Code 176B00000X
Grouping Other Service Providers
Classification Midwife

Taxonomy Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457626046 Lena Mcginnis-kilic Midwife 7200 E Valley Cir Ste 6, Palmer, AK 99645-5929 2012-03-14
1720223894 Rebecca Lee Mckimmey Midwife 15475 E Rodeo Dr, Palmer, AK 99645-8774 2008-12-03
1679788301 Holly Marie Steiner Midwife 342 S Alaska St, Palmer, AK 99645-6336 2007-05-14
1275667800 Kirsten A Gerrish Midwife 403 S Alaska St, Palmer, AK 99645-6339 2007-03-15
1720598527 Melanie Ann Hansen Midwife 342 S Alaska St, Palmer, AK 99645-6336 2017-10-05
1275087397 Mary Yanagawa Midwife 780 S Snodgrass Dr, Palmer, AK 99645-9149 2016-08-05
1770834871 Tara M Kramer Elrod Midwife 780 S Snodgrass Dr, Palmer, AK 99645-9149 2012-09-28
1023375383 Onica Sprokkreeff Midwife 7200 E Valley Cir, Suite #6, Palmer, AK 99645-5929 2012-04-11
1396054615 Stella Lyn Midwife 642 S Alaska St, Suite 217, Palmer, AK 99645-6342 2010-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366061244 Valor Midwifery Services Midwife 7060 E Wolf Lake Dr, Wasilla, AK 99654-9319 2020-04-10
1083275671 Susan Karleen Fisk Midwife 855 Sand Dollar Dr, Kenai, AK 99611-8818 2019-06-24
1417422510 Rachel Ann Pugh Midwife 2028 E Northern Lights Blvd Ste 201, Anchorage, AK 99508-4150 2018-10-04
1609359561 Audrey E Beers Midwife 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 2018-09-07
1386133023 Jessica Lee Rockhill Johnston Midwife 4154 Kingston Dr, Anchorage, AK 99504-4441 2018-05-08
1497251789 Haven Midwifery and Birth Center Midwife 4050 Lake Otis Pkwy Ste 211, Anchorage, AK 99508-5221 2018-04-04
1083072060 Mountain Sea Midwifery and Wellness Midwife 53254 Merimac, Fritz Creek, AK 99603-6024 2016-02-04
1376918912 Stormy Antonovich Midwife 10100 Betula Dr, Anchorage, AK 99507-4141 2015-12-08
1518357920 Juniper Jeanine Lanmon-freeman Midwife 26495 Vincent Street, Kasilof, AK 99610 2015-01-23
1255686994 The Birth Place Midwife 5805 E. Columbus Way, Wasilla, AK 99654-7831 2012-07-18
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Competitor

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City PALMER
Zip Code 99645

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Dataset Information

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.

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