Active NPI
Brandon Green, RN
- Infusion Therapy Registered Nurse
- Covington, WA
National Provider Identifier
1225866924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- RN60389814
- Practice address
- 26104 201St PL SE
Covington, WA 98042-6121 - Phone
- (206) 371-1006
- NPI assigned
- Jul 24, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | RN60389814 | WA | Primary |
Addresses
Primary practice location
26104 201St PL SE
Covington, WA 98042-6121
Mailing address
26104 201St PL SE
Covington, WA 98042-6121
Phone (206) 371-1006
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60389814 | WA | MD | Infusion Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1225866924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26104 201ST PL SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980426121",
"telephone_number": "206-371-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26104 201ST PL SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980426121",
"telephone_number": "206-371-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BRANDON",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "WA",
"license": "RN60389814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.