Individual provider Active NPI

Brandi Lee Riordan, CNA

  • Home Health Aide
  • Stapleton, AL
National Provider Identifier
1235734096
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
RES915550 Issued in AL
Practice address
35928 County Road 39
Stapleton, AL 36578-3022
Phone
(251) 284-6256
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X RES915550 AL Primary

Addresses

Primary practice location

35928 County Road 39
Stapleton, AL 36578-3022

Mailing address

35928 County Road 39
Stapleton, AL 36578-3022
Phone (251) 284-6256

Other identifiers 1

IdentifierTypeStateIssuer
RES15550OtherALMOMMA BEAR CAREGIVERS LLC

Other names 1

  • Miss Brandi Lee Riordan Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Stapleton Direct

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
RES915550ALMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1235734096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35928 COUNTY ROAD 39",
            "city": "STAPLETON",
            "state": "AL",
            "postal_code": "365783022",
            "telephone_number": "251-284-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35928 COUNTY ROAD 39",
            "city": "STAPLETON",
            "state": "AL",
            "postal_code": "365783022",
            "telephone_number": "251-284-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIORDAN",
        "first_name": "BRANDI",
        "middle_name": "LEE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AL",
            "license": "RES915550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOMMA BEAR CAREGIVERS LLC",
            "identifier": "RES15550",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stapleton",
            "affiliation": "N",
            "endpointDescription": "my home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35928 County Road 39",
            "city": "Stapleton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365783022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "RIORDAN",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "MOMMA BEAR CAREGIVER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stapleton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.