Individual provider Active NPI

Brandy Terrill

  • Social Worker
  • Cape Coral, FL
National Provider Identifier
1073362927
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
256158 Issued in KY
Practice address
2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422
Phone
(239) 412-5638
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 256158 KY Primary

Addresses

Primary practice location

2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422

Mailing address

43997 Boardwalk Loop Unit 1828
Babcock Ranch, FL 33982-2552

Other practice location 1

43997 Boardwalk Loop Unit 1828
Babcock Ranch, FL 33982-2552
Phone (239) 412-5638

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
256158KYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1073362927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43997 BOARDWALK LOOP UNIT 1828",
            "city": "BABCOCK RANCH",
            "state": "FL",
            "postal_code": "339822552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 DIPLOMAT PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095422",
            "telephone_number": "239-412-5638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43997 Boardwalk Loop Unit 1828",
            "address_purpose": "LOCATION",
            "city": "Babcock Ranch",
            "state": "FL",
            "postal_code": "339822552",
            "country_code": "US",
            "telephone_number": "239-412-5638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "BRANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "256158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.