Active NPI
Brandy Ann Chappell, LPN
- Licensed Practical Nurse
- Canton, MI
National Provider Identifier
1144855115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703109235
- Practice address
- 43825 Michigan Ave
Canton, MI 48188-2551 - Phone
- (734) 713-0088
- NPI assigned
- Mar 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 4703109235 | MI | |
| Licensed Practical Nurse | 164W00000X | 4703109235 | MI | Primary |
Addresses
Primary practice location
43825 Michigan Ave
Canton, MI 48188-2551
Mailing address
37450 Schoolcraft Rd
Livonia, MI 48150-1082
Phone (734) 744-0170
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hegirahealth.org | Direct | |
| CONNECT URL | hegirahealth.org | Direct |
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 |
|---|---|---|---|
| 4703109235 | MI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1144855115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37450 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501082",
"telephone_number": "734-744-0170",
"fax_number": "734-744-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43825 MICHIGAN AVE",
"city": "CANTON",
"state": "MI",
"postal_code": "481882551",
"telephone_number": "734-713-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELL",
"first_name": "BRANDY",
"middle_name": "ANN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "MI",
"license": "4703109235",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703109235",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hegirahealth.org",
"affiliation": "N",
"endpointDescription": "Health care facility",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8623 N Wayne Rd Ste 104",
"city": "Westland",
"state": "MI",
"country_code": "US",
"postal_code": "481851137",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "hegirahealth.org",
"affiliation": "N",
"endpointDescription": "Oakdale Recovery Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8623 N Wayne Rd Ste 104",
"city": "Westland",
"state": "MI",
"country_code": "US",
"postal_code": "481851137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.