MS. KRISTEN BROOKE SHORES (NPI# 1942460241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942460241 |
| Entity Type | Individual |
| Full Name | MS. KRISTEN BROOKE SHORES |
| Credential | MS,CCC-SLP |
| Practice Address |
34 Gracey St Sparta TN 38583-2046 |
| Mailing Address |
Po Box 298 Sparta TN 38583-0298 |
| Practice Telephone | 9318362211 |
| Practice Fax Number | 9318362230 |
| Mailing Telephone | 9318362211 |
| Mailing Fax Number | 9318362230 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SP 0000003641 | TN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605900 | Kristen Nicole Shores | Dietitian, Registered | 150 E Siebenmorgen Rd, Conway, AR 72032-4000 | 2020-07-03 |
| 1174032262 | Kristen Shores | Speech-Language Pathologist | 1 Baker Pl, Keyser, WV 26726-2824 | 2017-09-21 |
| 1740565647 | Kristen M Shores | Social Worker | 640 W Market St, Akron, OH 44303-1413 | 2011-10-12 |
| 1457684854 | Kristen Lynn Shores | Speech-Language Pathologist | 4650 Mcmasters Ave, Hannibal, MO 63401-2244 | 2009-09-16 |
| Street Address |
34 GRACEY ST |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467477323 | Nhc Healthcare-sparta LLC | Skilled Nursing Facility | 34 Gracey St, Sparta, TN 38583-2046 | 2006-07-13 |
| 1295380194 | Paige Elizabeth Cooper | Occupational Therapy Assistant | 34 Gracey St, Sparta, TN 38583-2046 | 2019-08-07 |
| 1033774898 | Brittany Swaim | Physical Therapy Assistant | 34 Gracey St, Sparta, TN 38583-2046 | 2019-05-07 |
| 1265097562 | Jonathon Wyatt | Physical Therapy Assistant | 34 Gracey St, Sparta, TN 38583-2046 | 2019-05-02 |
| 1932680097 | Anna Fox | Occupational Therapy Assistant | 34 Gracey St, Sparta, TN 38583-2046 | 2018-08-27 |
| 1508350109 | Colby Lee Cross | Physical Therapy Assistant | 34 Gracey St, Sparta, TN 38583-2046 | 2018-06-18 |
| 1366946162 | Cassie Morgan Taylor | Occupational Therapy Assistant | 34 Gracey St, Sparta, TN 38583-2046 | 2018-03-19 |
| 1114420858 | Ashley Farless | Physical Therapist | 34 Gracey St, Sparta, TN 38583-2046 | 2018-03-08 |
| 1952813032 | Alyssa Leigh Szatmary | Occupational Therapy Assistant | 34 Gracey St, Sparta, TN 38583-2046 | 2017-10-30 |
| 1396264545 | Breanna Noel Tarpley | Occupational Therapy Assistant | 34 Gracey St, Sparta, TN 38583-2046 | 2017-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| Find all providers in zip 38583 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467477323 | Nhc Healthcare-sparta LLC | Skilled Nursing Facility | 34 Gracey St, Sparta, TN 38583-2046 | 2006-07-13 |
| 1366485161 | Hancock County Health Care LLC | Skilled Nursing Facility | 60 Providence St, Sparta, GA 31087-1601 | 2006-06-13 |
| 1043252083 | Sparta Health Care LLC | Skilled Nursing Facility | 11744 Ga Highway 22, Sparta, GA 31087-1475 | 2006-06-12 |
| 1639122328 | Sunbridge Regency - North Carolina, Inc. | Skilled Nursing Facility | 179 Combs St, Sparta, NC 28675-8429 | 2006-05-17 |
| 1053312348 | Morrow Memorial Home for The Aged | Skilled Nursing Facility | 331 S Water St, Sparta, WI 54656-1726 | 2005-08-09 |
| 1952306748 | County of Monroe | Skilled Nursing Facility | 14345 County Highway B, Sparta, WI 54656-4803 | 2005-06-17 |
| 1831549286 | Crm of Sparta LLC | Skilled Nursing Facility | 60 Providence St, Sparta, GA 31087-1601 | 2016-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1285155705 | Stones River Manor, Inc. | Skilled Nursing Facility | 205 Haynes Dr, Murfreesboro, TN 37129-5101 | 2017-07-06 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1639625254 | Emerald Spring Hill, Inc. | Skilled Nursing Facility | 2000 Reserve Boulevard, Spring Hill, TN 37174-2370 | 2016-09-01 |
| 1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
| 1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. KRISTEN BROOKE SHORES.
| 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.