Active NPI
Branita Dawn Jayne
- Home Health Registered Nurse
- Oklahoma City, OK
National Provider Identifier
1407678006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R0091363
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN2382427 | MA | |
| Home Health Registered Nurse | 163WH0200X | 10025322 | OR | |
| Home Health Registered Nurse | 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
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 |
|---|---|---|---|
| RN2382427 | MA | MD | Home Health Registered Nurse |
| R0091363 | OK | MD | Home Health Registered Nurse |
| 10025322 | OR | MD | Home 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.