Gloria Jean Braswell

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

223 Harbor Lake Drive
Fennville, MI 49408

Phone

(269) 857-8636

Fax

(269) 857-8636

NPI assigned

Oct 28, 2009

Last updated

Dec 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gloria Jean Chaffee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1720314586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "490130293",
            "telephone_number": "269-427-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 HARBOR LAKE DRIVE",
            "city": "FENNVILLE",
            "state": "MI",
            "postal_code": "49408",
            "telephone_number": "269-857-8636",
            "fax_number": "269-857-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "CHAFFEE",
            "middle_name": "JEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shellie R Alexander, R.PH.
• Ascension Borgess Allegan Hospital (Fennville Medical Center)
• Phillip Louis Badra, M.D.
• Kanani Baker, LCSW
• Michele Blake, CCC-SLP
• Courtney Renee Broderick
• Nicole Bustillos
• Thomas Harold Cassell, DDS
• Richard Glenn Coleman, M.D.
• Darshan M Collins

• Adult Companion in Fennville, MI
• Providers in Fennville, MI by specialty
• Adult Companion in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.