Individual provider Active NPI

Brandy Nikia Respert, TPR

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1053838979
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
4705 Ashford Dunwoody Rd Ste 18
Atlanta, GA 30338-5566
Phone
(678) 368-9575
NPI assigned
Aug 23, 2017
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X GA Primary

Addresses

Primary practice location

4705 Ashford Dunwoody Rd Ste 18
Atlanta, GA 30338-5566

Mailing address

3164 Clubside View CT
Snellville, GA 30039-4722
Phone (678) 368-9575

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

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1053838979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 CLUBSIDE VIEW CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394722",
            "telephone_number": "678-368-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 ASHFORD DUNWOODY RD STE 18",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385566",
            "telephone_number": "678-368-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESPERT",
        "first_name": "BRANDY",
        "middle_name": "NIKIA",
        "name_prefix": "Mrs.",
        "credential": "TPR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.