Laura Branham

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002370 Issued in VA

Practice address

3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200

Phone

(252) 261-9940

NPI assigned

Jul 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1356757454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 TAMARACK DR",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279495919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 N CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489200",
            "telephone_number": "252-261-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Barry, MS
• Kristen Beckner, MS ED, CCC/SLP
• Janice L Bending, PHD
• Nicholas Allen Borsay, PHARM. D
• Michele A Boutilier, LHIS
• Budde & Bueker D.D.S., Partnership
• Ken Fritz Budde, D.D.S.
• Mark Steven Bueker, D.D.S.
• Nancy L Burns, MS, CCC-SLP
• Michael David Calhoun, OTRL

• All providers in Kill Devil Hills, NC
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.