SHATANIE MARIE BREWER — NPI 1407280761 (Licensed & Credentialed Military Health Care Provider in COPLEY, OH)

CMS-1500 Box 24J / 33a • NPI

1407280761

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

171000000X

Licensed & Credentialed Military Health Care Provider

Box 32 Service Location & ZIP+4

2801 COPLEY RD, COPLEY, OH, 44321-2111

✓ 9-Digit EDI 837 ZIP+4 (44321-2111)

Practice Phone & Referral Fax

(234) 334-0185

Fax: (234) 278-1407

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1407280761 (SHATANIE MARIE BREWER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1407280761` (NPI-1 Individual Practitioner)
Provider / Legal Name	SHATANIE MARIE BREWER
Plain-English Specialty	Licensed & Credentialed Military Health Care Provider NUCC Code: `171000000X` (Military Health Care Provider)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2801 COPLEY RD, COPLEY, OH, 44321-2111
Practice Telephone / Fax	Tel: (234) 334-0185 \| Fax: (234) 278-1407
Administrative Mailing Address	2801 COPLEY RD, COPLEY, OH, 44321-2111
Enumeration & Last Sync	Enumerated: 2013-08-22 \| CMS Record Updated: 2025-06-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2801 COPLEY RD, COPLEY, OH, 44321-2111

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Plain-English Taxonomy & CMS Crosswalk (171000000X)

What Does Taxonomy Code 171000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171000000X translates to:
"Licensed & Credentialed Military Health Care Provider"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Military Health Care Provider for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SHATANIE MARIE BREWER)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`372500000X` — Chore Provider Plain English: Licensed & Credentialed Chore Provider	State: N/A \| License: `Verified` \| Primary: Secondary
`374J00000X` — Doula Plain English: Licensed & Credentialed Doula	State: OH \| License: `Verified` \| Primary: Secondary
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`171000000X` — Military Health Care Provider Plain English: Licensed & Credentialed Military Health Care Provider	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SHATANIE MARIE BREWER (NPI #1407280761)