Individual provider Active NPI

Brandy Monique Plummer

  • Home Health Agency
  • Newport News, VA
National Provider Identifier
1225596141
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-232776 Issued in VA
Practice address
13195 Warwick Blvd Ste 2E
Newport News, VA 23602-8313
Phone
(757) 378-4806
NPI assigned
Mar 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0002092072 VA
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X HCO-232776 VA Primary

Addresses

Primary practice location

13195 Warwick Blvd Ste 2E
Newport News, VA 23602-8313

Mailing address

13195 Warwick Blvd Ste 2E
Newport News, VA 23602-8313
Phone (757) 378-4806

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

LicenseStateTypeSpecialty
0002092072VAMDLicensed Practical Nurse
HCO-232776VAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Health Service Home Health Current Accepting new patients

Locations

13195 Warwick Blvd
Ste 2E
Newport News, VA 23602
Phone (757) 214-2372

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1225596141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 WARWICK BLVD STE 2E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028313",
            "telephone_number": "757-378-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 WARWICK BLVD STE 2E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028313",
            "telephone_number": "757-378-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "BRANDY",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-10",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002092072",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-232776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.