Brandon Thomas Halstead, P.T.A

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

TEI004216 Issued in PA

Practice address

35 Bel Aire Dr
Newport, VT 05855-4953

Phone

(802) 334-2878

NPI assigned

Aug 25, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1194192245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 CORNERSTONE CT W STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213772",
            "telephone_number": "866-687-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEL AIRE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554953",
            "telephone_number": "802-334-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "BRANDON",
        "middle_name": "THOMAS",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": "TEI004216",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CO",
            "license": "PTA.0013570",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "UT",
            "license": "9406205-2404",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "09204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Minds PC
• Hope Guisinger
• Nelson S Haas, MD
• Karen J Hack
• Sharon L Hackett, M.D.
• Elise Renee Hancock, M.S., CCC-SLP
• Lauren Hannemann, PHARMD
• Rizwan Ul Haq, MD
• James Chadwick Hardin, PT
• Sarah Hardin, PT

• Community Health Worker in Newport, VT
• Providers in Newport, VT by specialty
• Community Health Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.