MS. MARSHETTA SHAVON BRAZLEY (NPI# 1417170291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417170291 |
| Entity Type | Individual |
| Full Name | MS. MARSHETTA SHAVON BRAZLEY |
| Credential | MT-BC |
| Practice Address |
1119 Old Humboldt Rd Jackson TN 38305-1752 |
| Mailing Address |
5300 Moss Hollow Cv Memphis TN 38134-6305 |
| Practice Telephone | 7316683888 |
| Practice Fax Number | 7316681666 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | 07661 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1119 OLD HUMBOLDT RD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588738157 | Star Center, Inc. | Clinic/Center | 1119 Old Humboldt Rd, Jackson, TN 38305-1752 | 2006-11-17 |
| 1083176655 | Anna Lyn Mcdaniel | Behavioral Analyst | 1119 Old Humboldt Rd, Jackson, TN 38305-1752 | 2019-04-03 |
| 1205094422 | Billie Suanne Griffin | Speech-Language Pathologist | 1119 Old Humboldt Rd, Jackson, TN 38305-1752 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003200098 | Tomoko Page | Music Therapist | 6430 Cooper St, Jackson, MI 49201-7537 | 2015-03-27 |
| 1043615594 | Jaime Lynn Merritt | Music Therapist | 1001 Laurence Ave Ste D, Jackson, MI 49202-2978 | 2014-10-27 |
| 1881093664 | Carol I Winstead | Music Therapist | 155 Laurelwood Dr, Jackson, MS 39212-3670 | 2014-08-18 |
| 1427530138 | Macayla Raney | Music Therapist | 1001 Laurence Ave Ste D, Jackson, MI 49202-2978 | 2018-08-30 |
| 1154803914 | Kara Mari Lili Surgeon Rider | Music Therapist | 1001 Laurence Ave Ste D, Jackson, MI 49202-2978 | 2018-08-29 |
| 1053804807 | Rebekah Moilanen | Music Therapist | 1001 Laurence Ave Ste D, Jackson, MI 49202-2978 | 2018-06-07 |
| 1700249166 | Masina Rose | Music Therapist | 1001 Laurence Ave, Suite D, Jackson, MI 49202-2979 | 2016-04-03 |
| 1700269297 | Marissa Kells | Music Therapist | 1001 Laurence Ave Ste D, Jackson, MI 49202-2978 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286544 | Kelsey Lownds | Music Therapist | 1916 Erin Ln, Nashville, TN 37221-2223 | 2019-07-05 |
| 1609358043 | Allison Sorrells Kerr | Music Therapist | 5303 Nevada Ave, Nashville, TN 37209 | 2018-09-01 |
| 1962957142 | Rebecca Greer | Music Therapist | 1935 Rowan Ln, Germantown, TN 38138-2569 | 2016-08-17 |
| 1679810683 | Carrie Elaine Friddell | Music Therapist | 4407 Park Ave, Nashville, TN 37209-3652 | 2013-01-10 |
| 1982896122 | Mountaineer Music Therapy Services LLC | Music Therapist | 208 Ridgecrest Drive, Elizabethton, TN 37643-3026 | 2007-08-13 |
| 1093923021 | Alana Kealoha Dellatan Seaton | Music Therapist | 2902 Tazewell Pike, Suite I, Knoxville, TN 37918-1877 | 2007-05-21 |
| 1588720643 | Dana Elizabeth Bolton | Music Therapist | 1833 Ward Dr, Suite 103, Murfreesboro, TN 37129-0558 | 2006-12-30 |
| 1427656834 | Phillip David Resuggan | Music Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2193 | 2020-10-16 |
| 1114473840 | Lindsay Brook Williams | Music Therapist | 1500 West Elk Ave, Suite 104, Elizabethton, TN 37643 | 2016-09-01 |
| 1831545011 | Megan Peeler | Music Therapist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2016-05-06 |
| Find all providers with the same taxonomy | ||||
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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.