Active NPI
Danielle Braswell
- Massage Therapist
- Biloxi, MS
National Provider Identifier
1407515307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3851
- Practice address
- 158 Porter Ave
Biloxi, MS 39530-3724 - Phone
- (540) 834-6064
- NPI assigned
- Dec 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019016323 | VA | |
| Massage Therapist | 225700000X | 3851 | MS | Primary |
Addresses
Primary practice location
158 Porter Ave
Biloxi, MS 39530-3724
Mailing address
158 Porter Ave
Biloxi, MS 39530-3724
Phone (540) 834-6064
Other practice location 1
8421 Salem Ave
Marshall, VA 20115-3277
Phone (540) 834-6064
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3851 | MS | MD | Massage Therapist |
| 0019016323 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1407515307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 PORTER AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395303724",
"telephone_number": "540-834-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 PORTER AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395303724",
"telephone_number": "540-834-6064"
}
],
"practiceLocations": [
{
"address_1": "8421 Salem Ave",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "VA",
"postal_code": "201153277",
"country_code": "US",
"telephone_number": "540-834-6064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRASWELL",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019016323",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MS",
"license": "3851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.