Active NPI
Brandon Valerio
- Registered Nurse
- Fenton, MO
National Provider Identifier
1255130431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2017024042
- Practice address
- 860 Shadow Pine Dr
Fenton, MO 63026-8317 - Phone
- (217) 899-0739
- NPI assigned
- Mar 11, 2025
- Last updated
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2017024042 | MO | Primary |
Addresses
Primary practice location
860 Shadow Pine Dr
Fenton, MO 63026-8317
Mailing address
860 Shadow Pine Dr
Fenton, MO 63026-8317
Phone (217) 899-0739
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 |
|---|---|---|---|
| 2017024042 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1255130431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 SHADOW PINE DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630268317",
"telephone_number": "217-899-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 SHADOW PINE DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630268317",
"telephone_number": "217-899-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALERIO",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2017024042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MO
- Scott Anthony Ulsas, D.C.
- Unique Milestones Behavior Services and Consultation LLC
- US Medgroup of Kansas PA
- Usrc Fenton LLC (U.S. Renal Care Fenton Dialysis)
- Suman Vaddi, M.D.
- Linda K Varadachari
- Christine Ann Vaughan, FNP
- Janani Vigneswaran, MD, MPH
- Wilka Yaneth Vincent, R.D., L.D.
- Cynthia Visintine, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.