Individual provider Active NPI

Brandelyn Rachelle Jokiel, CCHT

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1003073339
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A.C.H.E. CHT#107-106 Issued in NM
Practice address
1201 Eubank Blvd NE
Suite #2
Albuquerque, NM 87112-5386
Phone
(505) 239-5784
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A.C.H.E. CHT#107-106 NM Primary

Addresses

Primary practice location

1201 Eubank Blvd NE
Suite #2
Albuquerque, NM 87112-5386

Mailing address

1201 Eubank Blvd NE
Suite #2
Albuquerque, NM 87112-5386
Phone (505) 239-5784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A.C.H.E. CHT#107-106NMMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1003073339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 EUBANK BLVD NE",
            "address_2": "SUITE #2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125386",
            "telephone_number": "505-239-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 EUBANK BLVD NE",
            "address_2": "SUITE #2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125386",
            "telephone_number": "505-239-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKIEL",
        "first_name": "BRANDELYN",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "CCHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "A.C.H.E. CHT#107-106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.