Active NPI
Brandy Egland
- Licensed Practical Nurse
- Erie, PA
National Provider Identifier
1457749459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN273204
- Practice address
- 1647 Sassafras St
Erie, PA 16502-1858 - Phone
- (814) 877-6451
- Fax
- (814) 877-6297
- NPI assigned
- Dec 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN273204 | PA | Primary |
Addresses
Primary practice location
1647 Sassafras St
Erie, PA 16502-1858
Mailing address
5118 Old Zuck Rd
Erie, PA 16506-4916
Phone (814) 877-6451
Other names 1
- Brandy Mihalak
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 |
|---|---|---|---|
| PN273204 | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1457749459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5118 OLD ZUCK RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165064916",
"telephone_number": "814-877-6451",
"fax_number": "814-877-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1647 SASSAFRAS ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165021858",
"telephone_number": "814-877-6451",
"fax_number": "814-877-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLAND",
"first_name": "BRANDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN273204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "MIHALAK",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.