Individual provider Active NPI

Kelsey Brannock, MPS, ATR-P

  • Art Therapist
  • Coconut Creek, FL
National Provider Identifier
1265923643
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
7700 NW 48TH Ave
Coconut Creek, FL 33073-3508
Phone
(954) 698-9222
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X Primary

Addresses

Primary practice location

7700 NW 48TH Ave
Coconut Creek, FL 33073-3508

Mailing address

6863 Lakeside Rd
West Palm Beach, FL 33411-2621
Phone (561) 602-1495

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

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1265923643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6863 LAKESIDE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112621",
            "telephone_number": "561-602-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 NW 48TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733508",
            "telephone_number": "954-698-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNOCK",
        "first_name": "KELSEY",
        "credential": "MPS, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.