Jamie C Brayshaw, L.M.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

B60326929 Issued in WA

Practice address

205 Clark PL SE
Tumwater, WA 98501-4062

Phone

(360) 570-0401

NPI assigned

Jul 27, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heart of Wellness Inc

  • Clinic/Center
  • Tumwater, WA
  • NPI 1154678670
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1679887020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CLARK PL SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014062",
            "telephone_number": "360-570-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CLARK PL SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014062",
            "telephone_number": "360-570-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYSHAW",
        "first_name": "JAMIE",
        "middle_name": "C",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "17325",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "B60326929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachele Marie Brady, LMFT
• Brandt Wellness, LLC
• Susan Anne Brandt, OTR/L
• Nicole Branson, LMP
• David Braun Jr.
• Grace Brewer-Smith
• Laurie Briese
• Spencer Ryan Bright
• Christi R Bristow, MN, RN, NCSN
• Jane Brody

• Specialist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.