Brandie Mustard

Primary specialty

HomemakerTaxonomy code 376J00000X

License

M7100881 Issued in OH

Practice address

3018 My Tabor Rd
Waverly, OH 45690

Phone

(740) 703-9958

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1538767181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 MOUNT TABOR RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909522",
            "telephone_number": "740-703-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 MY TABOR RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "45690",
            "telephone_number": "740-703-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTARD",
        "first_name": "BRANDIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "M7100881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3048017",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Nicole Murray, BS, RN, CLC, ANLC
• Shia Muse
• Linda Marie Music, LPN
• Megan Elaine Musick
• Terry Mustard Jr., CDCA, QMHS
• Phillip Scott Mustard
• Kayla Myers
• Angela V. Nartker, P.T.
• Lawana Nash
• Jill A Neff, DO

• Homemaker in Waverly, OH
• Providers in Waverly, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.