Karen Branstrom, RT

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

440816 Issued in MI

Practice address

12210 Friday Q.1 Rd
Rapid River, MI 49878-9782

Phone

(906) 630-0464

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1669739348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 FRIDAY Q.1 RD",
            "city": "RAPID RIVER",
            "state": "MI",
            "postal_code": "498789782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 FRIDAY Q.1 RD",
            "city": "RAPID RIVER",
            "state": "MI",
            "postal_code": "498789782",
            "telephone_number": "906-630-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSTROM",
        "first_name": "KAREN",
        "credential": "RT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MI",
            "license": "440816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiography Radiologic Technologist in Rapid River, MI
• Providers in Rapid River, MI by specialty
• Radiography Radiologic Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.