SHIRLEY A BRADDY LPN
NPI 1750659546
Licensed Practical Nurse in Mount Vernon, IL

NPI Status: Active since December 07, 2011

Contact Information

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 244-6544
Fax: (618) 244-6577

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  • Individual
  • Female
  • Licensed Practical Nurse

About SHIRLEY BRADDY

This page provides the complete NPI Profile along with additional information for Shirley Braddy, a provider established in Mount Vernon, Illinois with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1750659546 assigned on December 2011. The practitioner's primary taxonomy code is 164W00000X with license number 043068030 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1750659546
Provider Name
SHIRLEY A BRADDY LPN
Other Name
SHIRLEY A STUDER LPN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2920 VETERANS MEMORIAL DR MOUNT VERNON, IL 62864
Location Phone
(618) 244-6544
Location Fax
(618) 244-6577
Mailing Address
PO BOX 155 CHRISTOPHER, IL 62822
Mailing Phone
(618) 724-2436
Mailing Fax
(618) 244-6577
Is Sole Proprietor?
No
Enumeration Date
12-07-2011
Last Update Date
12-07-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
043068030
License State
IL
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750659546
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001251858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 5 + 1 + 8 + 5 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1750659546 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104075803 R JEANETTE WANGLER LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1003066655 APRIL DAWN LEWIS LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1922232156 LESLEY DAWN NELSON LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1780918284 CHARLET R NOWLAND R.N.
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1770806952 CARLA JENELL ANDREWS RN
Individual
Registered Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1003133539 JUDY K JENKINS LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1346524873 SARAH E HUGHEY RN
Individual
Registered Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1093083974 RONDA KAYE WILSON LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1487093779MRS. DEANA RENEE HILL LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1952743973 MISTY DAWN KING RN
Individual
Registered Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 731-6560
1306271960 AMY JO JENKINS LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1073985511 STACY OWENS LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1750832192 LISA WEBB LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1700304847 ELESHA WILSON LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1558869412 BONNIE SMITH RN
Individual
Registered Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1184125874 NAOMI D EASLEY LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1548738057 AMANDA LYNN HAYS LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1346719630 AMANDA RATCLIFF LPN
Individual
Licensed Practical Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1629536685 TIFFANY L ALMS RN
Individual
Registered Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544
1760940720 MELISSA HAVRILKA RN
Individual
Registered Nurse2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
(618) 244-6544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750659546, enumerated in the NPI registry as an "individual" on December 07, 2011

The provider is located at 2920 Veterans Memorial Dr Mount Vernon, Il 62864 and the phone number is (618) 244-6544

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

This NPI record was last updated on December 07, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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