Individual provider Active NPI

Brandi Brianne Banner, LMT,CMMT,MTI

  • Specialist
  • Amarillo, TX
National Provider Identifier
1346560976
Registry record updated Jun 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MT102494 Issued in TX
Practice address
3706 Mockingbird LN
Amarillo, TX 79109-3208
Phone
(806) 477-2111
NPI assigned
Jun 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MT102494 TX Primary

Addresses

Primary practice location

3706 Mockingbird LN
Amarillo, TX 79109-3208

Mailing address

4200 Arden Rd
Amarillo, TX 79110-4102
Phone (806) 477-2111

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
MT102494TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275696000000",
    "number": "1346560976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 ARDEN RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791104102",
            "telephone_number": "806-477-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 MOCKINGBIRD LN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093208",
            "telephone_number": "806-477-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNER",
        "first_name": "BRANDI",
        "middle_name": "BRIANNE",
        "credential": "LMT,CMMT,MTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-05",
        "last_updated": "2010-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "MT102494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2010; 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.