Active NPI
Branda Elizabeth Page, MS, BSN, RN
- Registered Nurse
- Jackson, MI
National Provider Identifier
1477363026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704242044
- Practice address
- 434 Wildwood Ave
Jackson, MI 49201-1148 - Phone
- (517) 435-9352
- NPI assigned
- Jan 7, 2025
- Last updated
- Jan 7, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Registered Nurse | 163W00000X | 4704242044 | MI | Primary |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 4704242044 | MI | |
| Community Health Registered Nurse | 163WC1500X | 4704242044 | MI |
Addresses
Primary practice location
434 Wildwood Ave
Jackson, MI 49201-1148
Mailing address
PO Box 732
Michigan Center, MI 49254-0732
Phone (254) 535-6735
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
- Credentials
- Bachelor on Science - Nursing, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704242044 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1477363026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732",
"city": "MICHIGAN CENTER",
"state": "MI",
"postal_code": "492540732",
"telephone_number": "254-535-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 WILDWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011148",
"telephone_number": "517-435-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "BRANDA",
"middle_name": "ELIZABETH",
"credential": "MS, BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704242044",
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "4704242044",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MI",
"license": "4704242044",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.