Active NPI
Brandi J Mackin, RN
- Community Health Registered Nurse
- Linden, TN
National Provider Identifier
1669809232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN0000156479
- Practice address
- 31 Medical Dr
Linden, TN 37096-3326 - Phone
- (931) 583-2138
- Fax
- (931) 589-5414
- NPI assigned
- Sep 27, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000156479 | TN | MD | Community Health Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN0000156479 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
31 Medical Dr
Linden, TN 37096-3326
Mailing address
2284 Burns Hill Rd
Lobelville, TN 37097-4623
Phone (931) 593-2150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2013.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1669809232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2284 BURNS HILL RD",
"city": "LOBELVILLE",
"state": "TN",
"postal_code": "370974623",
"telephone_number": "931-593-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MEDICAL DR",
"city": "LINDEN",
"state": "TN",
"postal_code": "370963326",
"telephone_number": "931-583-2138",
"fax_number": "931-589-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIN",
"first_name": "BRANDI",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-27",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "RN0000156479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linden, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.