Active NPI
Jennifer Lee Bramlett, SOCIAL SERVICES TECH
- Other Technician
- Marine City, MI
National Provider Identifier
1003924853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 6803080829
- Practice address
- 515 S Parker St
Suite D
Marine City, MI 48039-3572 - Phone
- (810) 765-5010
- Fax
- (810) 765-8451
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 6803080829 | MI | Primary |
Addresses
Primary practice location
515 S Parker St
Suite D
Marine City, MI 48039-3572
Mailing address
6057 Urban Dr
East China, MI 48054-4750
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6803080829 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003924853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6057 URBAN DR",
"city": "EAST CHINA",
"state": "MI",
"postal_code": "480544750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S PARKER ST",
"address_2": "SUITE D",
"city": "MARINE CITY",
"state": "MI",
"postal_code": "480393572",
"telephone_number": "810-765-5010",
"fax_number": "810-765-8451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAMLETT",
"first_name": "JENNIFER",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "SOCIAL SERVICES TECH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "6803080829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marine City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.