NPI age
17 years
Enumerated 2008-05-28
● Active
Type 1 · Individual
DR. Brenna Mae Shackelford, MD
Shackelford is 1 of 1 emergency medicine providers in Meridian and 1 of 1 in Idaho.
Primary specialty
Emergency Medicine
Plus 6 subspecialties
Licensed in
ID, HI, IN, NV, CA
5 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1 active emergency medicine providers in Idaho.
NPI age
17 years
≈ at median (17 yr)
State licenses
5 states
Top 0% — 100% of peers are multi-state
Subspecialties
2
In the 100% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
520 S Eagle Rd Ste 3102
Meridian, ID 836426352
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
99 Mdg/sghq, Fl 2, Rm 2576c, Attn: Credentials Office
Nellis Afb, NV 891916601
Location 3
221 Mahalani St
Wailuku, HI 967932526
Location 4
745 W Moana Ln Ste 300
Reno, NV 895094980
Specialties
-
Emergency Medicine PrimaryAn 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...
-
Emergency MedicineAn 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....
-
Student in an Organized Health Care Education/Training ProgramAn 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.
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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