Active NPI
Pattie S. Brandon, LPN
- Licensed Practical Nurse
- Milwaukee, WI
National Provider Identifier
1225262058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 29959
- Practice address
- 7938 North 107TH Street
Apt 3
Milwaukee, WI 53224-3162 - Phone
- (414) 699-3937
- NPI assigned
- May 7, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 29959 | WI | Primary |
Addresses
Primary practice location
7938 North 107TH Street
Apt 3
Milwaukee, WI 53224-3162
Mailing address
PO Box 240471
Milwaukee, WI 53224-3162
Phone (414) 699-3937
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 |
|---|---|---|---|
| 29959 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1225262058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240471",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243162",
"telephone_number": "414-699-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7938 NORTH 107TH STREET",
"address_2": "APT 3",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243162",
"telephone_number": "414-699-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "PATTIE",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "29959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.