Individual provider Active NPI

Brandi J Mackin, RN

  • Community Health Registered Nurse
  • Linden, TN
National Provider Identifier
1669809232
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN0000156479 Issued in TN
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

LicenseStateTypeSpecialty
RN0000156479TNMDCommunity Health Registered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000156479 TN Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.