Brandy Shannon Bahn, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

152612 Issued in TX

Practice address

1215 S Coulter St
Suite 100
Amarillo, TX 79106-1758

Phone

(806) 359-4701

Fax

(806) 353-0091

NPI assigned

Sep 29, 2010

Last updated

Sep 29, 2010By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1669781316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-353-4701",
            "fax_number": "806-353-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061758",
            "telephone_number": "806-359-4701",
            "fax_number": "806-353-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHN",
        "first_name": "BRANDY",
        "middle_name": "SHANNON",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "152612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Theresa Back, AU.D.
• Norma Jo Backs, EDD
• Amanda Backus
• Waleed Omar Badoghaish, M.D.
• Mohammed Bahaa Aldeen, MD
• April Alexander Bailey, MD
• Bryan F. Bailey, D.D.S.
• Janet Bailey, LPC
• Lauryn Avery Bailey, PT, DPT
• Rebecca Cristina Bailey, RBT-19-80567

• Licensed Vocational Nurse in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.