Active NPI
Brianna Martin, CNA
- Respite Care
- Picayune, MS
National Provider Identifier
1558776054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Practice address
- 813 S Beech St
Picayune, MS 39466-5017 - Phone
- (601) 569-3924
- NPI assigned
- Jun 24, 2014
- Last updated
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Respite Care | 385H00000X | NU | Primary |
Addresses
Primary practice location
813 S Beech St
Picayune, MS 39466-5017
Mailing address
813 S Beech St
Picayune, MS 39466-5017
Phone (601) 569-3924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000000 | Other | PENDING MEDICAID |
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": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1558776054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 S BEECH ST",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394665017",
"telephone_number": "601-569-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 S BEECH ST",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394665017",
"telephone_number": "601-569-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BRIANNA",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENDING MEDICAID",
"identifier": "00000000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.