Kelly Olivia Brand, RN, RPSGT

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

14062

Practice address

11044 Tennessee Ave
Los Angeles, CA 90064-1966

Phone

(213) 703-2391

NPI assigned

Jun 9, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1659996296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11044 TENNESSEE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641966",
            "telephone_number": "213-703-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11044 TENNESSEE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641966",
            "telephone_number": "213-703-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "KELLY",
        "middle_name": "OLIVIA",
        "credential": "RN, RPSGT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "14062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royce H Branch, ASW
• Shaquanda Branch
• Tina Branch
• Erin Susanna Brand
• Jonathan Matthew Brand, L.AC.
• Paloma Yanine Brand
• Delara Brandal, MD
• Patrick Brandao
• Quentin Alan Brande
• Wendi Brandenburg

• Electroneurodiagnostic Specialist/Technologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.