Patricia Anne Brandum, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

467912-1 Issued in NY

Practice address

924 Escarpment Dr
Lewiston, NY 14092-2022

Phone

(440) 465-0332

NPI assigned

May 2, 2007

Last updated

Oct 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1487875688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 ESCARPMENT DR",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922022",
            "telephone_number": "440-465-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 ESCARPMENT DR",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922022",
            "telephone_number": "440-465-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDUM",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-241636",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "467912-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2221143",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Block, M.D.
• Liliana Borzillieri, LPN
• Morgan Brittany Boss
• Ashley Bower, OTR/L
• Steven P Bradley, PA
• Caitlin Elizabeth Briggs, NP
• Robert L Bull Jr., MD
• Kim Elizabeth Burnham-Fechner, L.M.T., L.V.T.
• Tiffany L Cap, RPA-C
• Kimberly Ila Cashion, PHARMD

• Registered Nurse in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.