SHELLY ANN BILBRO (NPI# 1417561614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417561614 |
| Entity Type | Individual |
| Full Name | SHELLY ANN BILBRO |
| Credential | NP |
| Practice Address |
836 Rushton Cir Brandon MS 39047-8170 |
| Practice Telephone | 6012147172 |
| Mailing Telephone | 6012147172 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
836 RUSHTON CIR |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-8170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817838 | Ebony Symone' Woodson | Student in an Organized Health Care Education/Training Program | 288 Mount Helm Rd, Brandon, MS 39047-8462 | 2020-09-25 |
| 1295354785 | Ashley Karol Brown | Student in an Organized Health Care Education/Training Program | 201 Bellewood Dr, Brandon, MS 39042-3268 | 2020-04-14 |
| 1114555190 | Kevin Ceballos | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr Fl 33511, Brandon, FL 33511-5779 | 2020-03-27 |
| 1912539909 | Carolyna Danielle Perez | Student in an Organized Health Care Education/Training Program | 2612 Bermuda Lake Dr Apt 204a, Brandon, FL 33510-2290 | 2020-02-07 |
| 1568020964 | Purab Patel | Student in an Organized Health Care Education/Training Program | 2636 Bermuda Lake Dr Apt 203a, Brandon, FL 33510-2398 | 2019-05-31 |
| 1891292447 | Seth Lewis Maxwell | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr Fl 3, Brandon, FL 33511-5779 | 2018-04-10 |
| 1548790231 | Kenneth G Rosario Jr. | Student in an Organized Health Care Education/Training Program | 119 Oakfield Drive Brandon Florida 33511, Brandon, FL 33511 | 2017-06-14 |
| 1881047942 | Michael Udall Reid | Student in an Organized Health Care Education/Training Program | 500 Avalon Way Apt 309, Brandon, MS 39047-7546 | 2016-07-13 |
| 1578917563 | Alicia Sanchezcummings | Student in an Organized Health Care Education/Training Program | 231 Mason St, Brandon, FL 33511-5211 | 2016-04-16 |
| 1740643634 | Nicholas Bumacod | Student in an Organized Health Care Education/Training Program | 333 S. Lakewood Dr., Brandon, FL 33511 | 2016-03-30 |
| Find all providers in BRANDON | ||||
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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.