Janiya Lashay Brackenridge
Individual provider Active NPI Assisted Living Facility · Ankeny, IA
NPI 1649159161 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1649159161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- Practice address
- 2810 SE Rio Dr Apt 303
Ankeny, IA 50021-3862 - Phone
- (678) 593-8901
- NPI assigned
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annies House | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | IA | Yes |
Addresses
Primary practice location
2810 SE Rio Dr Apt 303
Ankeny, IA 50021-3862
Mailing address
2810 SE Rio Dr Apt 303
Ankeny, IA 50021-3862
Phone (678) 593-8901
Other providers in Ankeny, IA
- Brian Boyer
- Rachael A Boyer
- Jennifer Boyles
- Daniel E Bozwell
- Elizabeth Marie Bracciano
- Brad Podray Orthodontics LLC
- Kevin Bradford
- Greg Brandt
- Sarah Grace Brennan
- Briarwood Dental Spa
All providers in Ankeny, IA · Assisted Living Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.