Roberta Branch

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

RQ351572 Issued in OH

Practice address

2561 30TH St NE
Canton, OH 44705-2558

Phone

(330) 268-6215

NPI assigned

Jul 17, 2020

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1124636014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447052558",
            "telephone_number": "330-268-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447052558",
            "telephone_number": "330-268-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2561 30th St NE",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447052558",
            "country_code": "US",
            "telephone_number": "330-268-6215 x33026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "ROBERTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "RQ351572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Elaine Bradley, LPN
• Lindsey Bradley
• Jennifer R Brady, PTA
• Tracy Ann Bragg, PTA
• Paula Brahler
• David R Brandau, M.D.
• Cheryl Branstutter
• Tyra Patrice Brantley
• Amina Brar, MD
• Kinslee Brasill

• Home Health Aide in Canton, OH
• Providers in Canton, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.