Brandilyn Durrant

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-4364 Issued in ID

Practice address

708 E Wythe Creek CT # 102a
Kuna, ID 83634-2473

Phone

(208) 810-9601

NPI assigned

Oct 6, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brandilyn Newton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1275295396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 N MADDERLAKE AVE APT 1",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341590",
            "telephone_number": "208-810-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E WYTHE CREEK CT # 102A",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342473",
            "telephone_number": "208-810-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRANT",
        "first_name": "BRANDILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDILYN",
            "last_name": "NEWTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Deschene Jr.
• Jessica Diaz, LCPC, CCMHC
• Dominique Domingo, LPC
• Allison Dreher, RN
• Sabrina Denise Dunn
• Amanda Irene Dymen
• Dustin David Elliott
• Kevin Michael Elliott, DMD
• Rocky Wade Elsasser, DPT
• Ryan R. Emry, M.ED., M.A., LPC

• Massage Therapist in Kuna, ID
• Providers in Kuna, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.