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NPISignal

Individual Healthcare Provider

Brenna Mae Shackelford, MD

NPI Record: ActiveEmergency Medicine — Hospice and Palliative Medicine
NPI1033377833
Meridian, Idaho

Provider's NPPES record last updated: August 6, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1033377833
Primary Specialty
Emergency Medicine — Hospice and Palliative Medicine
Practice Location
Meridian, Idaho
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:03 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Emergency Medicine

    Hospice and Palliative Medicine

    Allopathic & Osteopathic Physicians

    Primary

    An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

    Taxonomy code 207PH0002X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    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.

    Taxonomy code 390200000X

Provider-Reported License Information

Emergency Medicine (Idaho)
M-15461
Emergency Medicine (Hawaii)
MD19340
Emergency Medicine (Indiana)
01067626A
Emergency Medicine (Nevada)
23824
Emergency Medicine (California)
A133488
Emergency Medicine (Idaho)
M15461
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

520 S Eagle Rd Ste 3102

Meridian, Idaho 83642-6352

Phone: (208) 381-1615

Additional Practice Location

99 Mdg/Sghq, Fl 2, Rm 2576c

Attn: Credentials Office

Nellis Afb, Nevada 89191-6601

Phone: (702) 653-3067

Additional Practice Location

221 Mahalani St

Wailuku, Hawaii 96793-2526

Phone: (808) 242-2290

Additional Practice Location

745 W Moana Ln Ste 300

Reno, Nevada 89509-4980

Phone: (775) 327-5174

Record Information

Enumeration Date
May 28, 2008
Provider's NPPES Record Last Updated
August 6, 2024
Certification Date
August 6, 2024
NPISignal NPPES Dataset
August 2026

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