SHENITA ADAMS DEBERRY (NPI# 1861014615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861014615 |
| Entity Type | Individual |
| Full Name | SHENITA ADAMS DEBERRY |
| Credential | AGPCNP |
| Practice Address |
1601 Brenner Ave Salisbury NC 28144-2515 |
| Mailing Address |
15306 Catawba Cir S Matthews NC 28104-5132 |
| Practice Telephone | 7046389000 |
| Mailing Telephone | 7048864007 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5013147 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5013147 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5013147 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 BRENNER AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953423 | Benjamin W Reese | Family Medicine | 1601 Brenner Ave, 11a W.g. Bill Hefner Medical Center, Salisbury, NC 28144 | 2005-06-23 |
| 1508467028 | Nicolas Hunter Johnson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-11-02 |
| 1174123558 | Demarcus Swain Steele | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-27 |
| 1053911578 | Michelle Wilson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1750980231 | Airington Tribble | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1467051946 | Whitney Mickens | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1134728611 | Matthew Agner | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1225637804 | Jackie Meggett | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1831798578 | Brittany Plummer | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1184223810 | Aleashia H Brandon | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578088258 | Ramona Bradley | Nurse Practitioner | 614 Eastern Shore Dr Ste A, Salisbury, MD 21804-5940 | 2017-08-03 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1124386065 | Atlantic Bone Health Services, Inc. | Nurse Practitioner | 4263 Elk Creek Dr, Salisbury, MD 21804-2563 | 2012-04-29 |
| 1407098775 | Janet Lee Parker | Nurse Practitioner | 1710 W Innes St, Salisbury, NC 28144-2552 | 2009-04-01 |
| 1972713618 | Grace Elaine Matthews | Nurse Practitioner | 201 Pine Bluff Rd Ste 2521801, Salisbury, MD 21801-7163 | 2007-05-23 |
| 1912519547 | Janga Phillips | Nurse Practitioner | 2604 Old Ocean City Rd, Salisbury, MD 21804-4629 | 2020-08-17 |
| 1245873959 | Karen Ross | Nurse Practitioner | 200 E Vine St Ste B, Salisbury, MD 21804-5531 | 2019-10-25 |
| 1912391038 | Katie Durham | Nurse Practitioner | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2015-03-26 |
| 1235296120 | Steven Clay Smith | Nurse Practitioner | 401 Mocksville Ave, Suite 200, Salisbury, NC 28144-2735 | 2007-01-02 |
| 1821172412 | Kim Ann Keosian | Nurse Practitioner | 106 Milford St, Suite605, Salisbury, MD 21804-6953 | 2006-10-24 |
| Find all providers in SALISBURY | ||||
Please comment or provide details below to improve the information on SHENITA ADAMS DEBERRY.
| 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.