Individual provider Active NPI

Brandi R Rawlins, PRS

  • Peer Specialist
  • Portsmouth, OH
National Provider Identifier
1689368979
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.004175 Issued in OH
Practice address
729 6TH St
Portsmouth, OH 45662-4030
Phone
(740) 876-8290
Fax
(740) 529-1205
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X APS.004175 OH Primary

Addresses

Primary practice location

729 6TH St
Portsmouth, OH 45662-4030

Mailing address

729 6TH St
Portsmouth, OH 45662-4030
Phone (740) 876-8290

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

State licenses

LicenseStateTypeSpecialty
APS.004175OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1689368979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 6TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624030",
            "telephone_number": "740-876-8290",
            "fax_number": "740-529-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 6TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624030",
            "telephone_number": "740-876-8290",
            "fax_number": "740-529-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINS",
        "first_name": "BRANDI",
        "middle_name": "R",
        "credential": "PRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.