Brieanna Nielson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

810 Shoney Dr SW
Huntsville, AL 35801-5436

Phone

(850) 866-0441

Fax

(850) 254-0827

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: info@autisumwsi.com

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1427778976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015436",
            "telephone_number": "850-866-0441",
            "fax_number": "850-254-0827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 University Dr NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358061757",
            "country_code": "US",
            "telephone_number": "850-866-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "BRIEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862107695",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@autisumwsi.com",
            "affiliation": "N",
            "address_1": "810 Shoney Dr SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358015436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meagan Nicole Nichols, OTR/L
• Tracy T. Nichols, MA, LPT, LSPE
• John Richard Nicholson III, M.D.
• Nickes Medical Supply, LLC
• Kewin Nielsen, DPT
• Carissa Niemann, C.R.N.P.
• Ashley Brabham Nihart, OTT
• Jussi Niiranen, MD
• Janaki Nimmagadda, M.D.
• Peshitha Nimmagadda, MD

• Behavior Technician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.