Lois Marie Brandon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001004A Issued in IN

Practice address

316 Indian Ridge Blvd
Mishawaka, IN 46545-9034

Phone

(800) 635-5516

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Health System, Inc.

  • Physical Therapist
  • La Porte, IN
  • NPI 1013133487
  NPD (past)
• Parker Family Medicine, P.C.

  • Family Medicine Physician
  • Winamac, IN
  • NPI 1770752099
  NPD (past)
• Dave Parker Inc

  • Family Medicine Physician
  • Marion, VA
  • NPI 1114213766
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629148747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N MICHIGAN ST",
            "address_2": "SUITE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011244",
            "telephone_number": "574-647-1069",
            "fax_number": "574-647-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 INDIAN RIDGE BLVD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465459034",
            "telephone_number": "800-635-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "LOIS",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001004A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Boyll, LSW
• Cynthia G Boynton, LICENSED DIETICIAN N
• Lawrence C Boynton, CFA
• Jacqueline Brady
• Sarah Brady, MS
• Melody Alara Brazier
• Kristen E Bree, NP
• Michael T. Brendle, M.D.
• Matthew Steele Brennan, D.D.S.
• Chloe Kathleen Brewer

• Family Nurse Practitioner in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.