Individual provider Active NPI

Brandi Mobley Resha, FNP-BC

  • Registered Nurse
  • Milledgeville, GA
National Provider Identifier
1407423296
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN205293 Issued in GA
Practice address
372 Blandy Rd NW
Milledgeville, GA 31061-8927
Phone
(478) 295-2095
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN205293 GA Primary

Addresses

Primary practice location

372 Blandy Rd NW
Milledgeville, GA 31061-8927

Mailing address

372 Blandy Rd NW
Milledgeville, GA 31061-8927
Phone (478) 295-2095

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
RN205293GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1407423296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 BLANDY RD NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618927",
            "telephone_number": "478-295-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 BLANDY RD NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618927",
            "telephone_number": "478-295-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESHA",
        "first_name": "BRANDI",
        "middle_name": "MOBLEY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN205293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.