Active NPI
Branden Shane William Myers
- Social Worker
- Albany, OR
National Provider Identifier
1144964917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- NONE
- Practice address
- 2803 Windsar PL SE
Albany, OR 97322-5861 - Phone
- (541) 619-4119
- NPI assigned
- Apr 26, 2022
- Last updated
- Apr 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NONE | Primary |
Addresses
Primary practice location
2803 Windsar PL SE
Albany, OR 97322-5861
Mailing address
2803 Windsar PL SE
Albany, OR 97322-5861
Phone (541) 619-4119
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": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1144964917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 WINDSAR PL SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973225861",
"telephone_number": "541-619-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 WINDSAR PL SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973225861",
"telephone_number": "541-619-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "BRANDEN",
"middle_name": "SHANE WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-26",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.