Active NPI
Brianna Wishing
- Occupational Therapist
- Crescent City, CA
National Provider Identifier
1467105395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23019
- Practice address
- 1280 Marshall St
Crescent City, CA 95531-2217 - Phone
- (615) 260-8187
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23019 | CA | Primary |
Addresses
Primary practice location
1280 Marshall St
Crescent City, CA 95531-2217
Mailing address
1280 Marshall St
Crescent City, CA 95531-2217
Phone (615) 260-8187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1690 Rose Moss CT SE
Smyrna, GA 30082-3969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23019 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1467105395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 MARSHALL ST",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955312217",
"telephone_number": "615-260-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 MARSHALL ST",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955312217",
"telephone_number": "615-260-8187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISHING",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crescent City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.