Mary Ellen Brandt, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L 052191-6 Issued in MN

Practice address

1418 Woodbridge St
Saint Paul, MN 55117-4413

Phone

(651) 487-5544

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073720751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 WOODBRIDGE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174413",
            "telephone_number": "651-487-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 WOODBRIDGE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174413",
            "telephone_number": "651-487-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L 052191-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Brandon, HEATHER BRANDON, OT
• Mara Ann Brandsoy, OTR
• Amy Rebecca Brandt, LICSW
• April Lou Brandt, LICSW
• Emily Brandt
• Stephanie Fay Brandt, D.P.T.
• Suzanne Theresa Brannan, B.S., L.A.D.C.
• Danica Brannon
• Lisa Ann Bransford, L.AC
• Anne Branstad

• All providers in Saint Paul, MN
• Licensed Practical Nurse in Minnesota

• 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.

Verify at the official NPI Registry.