Brenda Kay Preston, IND. PROVIDER

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

222 Curtis St
Apt. 700
Delaware, OH 43015-2497

Phone

(740) 972-5478

NPI assigned

Feb 25, 2007

Last updated

Jul 9, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609902717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E BRANCH RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152228",
            "telephone_number": "740-362-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CURTIS ST",
            "address_2": "APT. 700",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152497",
            "telephone_number": "740-972-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "IND. PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2554418",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelleen Porter, DPT
• Positional Advantage Corporation
• Positional Advantage Corporation (Delaware Family Eyecare)
• Vicki Potter, OTR/L
• Spencer Thomas Powell, M.D.
• Gretchen Price
• Joseph Price
• Victoria Mylene Pridemore
• Tanice A Prince, LISW-S
• Prissy Home Health LLC

• Contractor in Delaware, OH
• Providers in Delaware, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.