Individual provider Active NPI

Brandi Punch, LMP

  • Specialist
  • Kennewick, WA
National Provider Identifier
1720475072
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60522248 Issued in WA
Practice address
8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213
Phone
(509) 579-5999
Fax
(509) 834-7407
NPI assigned
Apr 23, 2015
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA60522248 WA Primary

Addresses

Primary practice location

8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213

Mailing address

8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213
Phone (509) 579-5999

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
Master of Theology

State licenses

LicenseStateTypeSpecialty
MA60522248WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
BS Chiropractic Inc CurrentSince Apr 24, 2022 Accepting new patients
Core Concepts, PLLC PastSince Jul 1, 2008 Accepting new patients
TRSR, PLLC Past Accepting new patients

Locations

8901 W Tucannon Ave
Ste 160
Kennewick, WA 99336
Phone (509) 579-5999

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1720475072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W TUCANNON AVE STE 160",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367213",
            "telephone_number": "509-579-5999",
            "fax_number": "509-834-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W TUCANNON AVE STE 160",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367213",
            "telephone_number": "509-579-5999",
            "fax_number": "509-834-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNCH",
        "first_name": "BRANDI",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60522248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.