Individual provider Active NPI

Kinyetta Amour Branner

  • Social Worker
  • Troy, MI
National Provider Identifier
1538094065
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851121924 Issued in MI
Practice address
5505 Corporate Dr
Troy, MI 48098-2859
Phone
(313) 427-5840
Fax
(313) 427-5840
NPI assigned
Jun 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 6851121924 MI Primary

Addresses

Primary practice location

5505 Corporate Dr
Troy, MI 48098-2859

Mailing address

17 Oak Creek LN
Pontiac, MI 48340-2219
Phone (313) 427-5840

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

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1538094065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OAK CREEK LN",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402219",
            "telephone_number": "313-427-5840",
            "fax_number": "313-427-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 CORPORATE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982859",
            "telephone_number": "313-427-5840",
            "fax_number": "313-427-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNER",
        "first_name": "KINYETTA",
        "middle_name": "AMOUR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851121924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.