Active NPI
Marla Elaine Brashears
- Peer Specialist
- Springfield, OH
National Provider Identifier
1699460709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.003916
- Practice address
- 2624 Lexington Ave
Springfield, OH 45505-2620 - Phone
- (937) 328-5300
- Fax
- (937) 322-4900
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.003916 | OH | Primary |
Addresses
Primary practice location
2624 Lexington Ave
Springfield, OH 45505-2620
Mailing address
2624 Lexington Ave
Springfield, OH 45505-2620
Phone (937) 328-5300
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
| License | State | Type | Specialty |
|---|---|---|---|
| APS.003916 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1699460709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 LEXINGTON AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052620",
"telephone_number": "937-328-5300",
"fax_number": "937-322-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 LEXINGTON AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052620",
"telephone_number": "937-328-5300",
"fax_number": "937-322-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASHEARS",
"first_name": "MARLA",
"middle_name": "ELAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.003916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.