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.

R JEANETTE WANGLER LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

APRIL DAWN LEWIS LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

LESLEY DAWN NELSON LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

CHARLET R NOWLAND R.N.

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

CARLA JENELL ANDREWS RN

Registered Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

JUDY K JENKINS LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

SARAH E HUGHEY RN

Registered Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

RONDA KAYE WILSON LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

MRS. DEANA RENEE HILL LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

MISTY DAWN KING RN

Registered Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 731-6560

AMY JO JENKINS LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

STACY OWENS LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

LISA WEBB LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

ELESHA WILSON LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

BONNIE SMITH RN

Registered Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

NAOMI D EASLEY LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

AMANDA LYNN HAYS LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

AMANDA RATCLIFF LPN

Licensed Practical Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

TIFFANY L ALMS RN

Registered Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

MELISSA HAVRILKA RN

Registered Nurse

2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL
ZIP 62864

(618) 244-6544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750659546, enumerated 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.

Licensed Practical Nurse with taxonomy code 164W00000X.