Brandywine N Hightower, IDHS

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

3823 Main St
Chincoteague, VA 23336-1857

Phone

(757) 336-2844

Fax

(757) 336-2811

NPI assigned

Oct 18, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1659097095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 MAIN ST",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233361857",
            "telephone_number": "757-336-2844",
            "fax_number": "757-336-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 MAIN ST",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233361857",
            "telephone_number": "757-336-2844",
            "fax_number": "757-336-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "BRANDYWINE",
        "middle_name": "N",
        "credential": "IDHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandywine.n.hightower@uscg.mil",
            "affiliation": "Y",
            "endpointDescription": "Military Email",
            "affiliationName": "ISC Portsmouth Health Services Division USCG",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Military Email",
            "address_1": "3823 Main St",
            "city": "Chincoteague",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233361857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alya Elsayed-Ali, DDS
• Lauren Evoniuk, PA-C
• Glenn B. Wolffe,M.D. P.C.
• H & H Pharmacy Inc.
• Howard Lee Harris Jr.
• Justin Wolfe Horschel, USCG IDHS
• Ava C Johnson, NP
• Jeanne Rae Johnson, CPHT
• Louann Maddox King, PT
• Linda Lacoursiere, PT

• Independent Duty Medical Technicians in Chincoteague, VA
• Providers in Chincoteague, VA by specialty
• Independent Duty Medical Technicians in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.