Individual provider Active NPI

Branita Dawn Jayne

  • Home Health Registered Nurse
  • Oklahoma City, OK
National Provider Identifier
1407678006
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R0091363 Issued in OK
Practice address
4401 W Memorial Rd Ste 143
Oklahoma City, OK 73134-1787
Phone
(405) 486-8600
NPI assigned
Oct 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN2382427 MA
Home Health Registered Nurse 163WH0200X 10025322 OR
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X R0091363 OK Primary

Addresses

Primary practice location

4401 W Memorial Rd Ste 143
Oklahoma City, OK 73134-1787

Mailing address

2660 S Luther Rd
Harrah, OK 73045-6368
Phone (405) 823-7214

Other names 1

  • Branita Dawn Brand Former name

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
RN2382427MAMDHome Health Registered Nurse
R0091363OKMDHome Health Registered Nurse
10025322ORMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1407678006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 S LUTHER RD",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730456368",
            "telephone_number": "405-823-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD STE 143",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341787",
            "telephone_number": "405-486-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNE",
        "first_name": "BRANITA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2382427",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "10025322",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "OK",
            "license": "R0091363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANITA",
            "last_name": "BRAND",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.