Active NPI
Elizabeth A Brandon, FNP
- Family Nurse Practitioner
- Columbia, MO
National Provider Identifier
1730188046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 081065
- Practice address
- 1001 W Worley St
Family Health Center of Boone County
Columbia, MO 65203-2037 - Phone
- (573) 214-2314
- Fax
- (573) 814-2784
- NPI assigned
- Jul 19, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 081065 | MO | Primary |
Addresses
Primary practice location
1001 W Worley St
Family Health Center of Boone County
Columbia, MO 65203-2037
Mailing address
1001 W Worley St
Family Health Center of Boone County
Columbia, MO 65203-2037
Phone (573) 214-2314
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730188046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W WORLEY ST",
"address_2": "FAMILY HEALTH CENTER OF BOONE COUNTY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032037",
"telephone_number": "573-214-2314",
"fax_number": "573-814-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W WORLEY ST",
"address_2": "FAMILY HEALTH CENTER OF BOONE COUNTY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032037",
"telephone_number": "573-214-2314",
"fax_number": "573-814-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "081065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.