Mari Micci Bramuchi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904432 Issued in MS

Practice address

810 E Sunflower Rd Ste 100B
Cleveland, MS 38732-2828

Phone

(662) 579-3484

Fax

(662) 579-3485

NPI assigned

Jan 20, 2020

Last updated

May 26, 2022By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: marrimicci.bramuchi.p6@direct.vac.nextgenshare.com

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1750911673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WESTWOOD DR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387328718",
            "telephone_number": "662-588-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD STE 100B",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-579-3484",
            "fax_number": "662-579-3485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387328718",
            "country_code": "US",
            "telephone_number": "662-588-3193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMUCHI",
        "first_name": "MARI",
        "middle_name": "MICCI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "32712",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Borowicz, DO
• Mari Jane Bosworth, PT
• Michael Braswell
• Nohemie Brevil, M.D., FAAP
• Charles E Brock Jr., M.D.
• Brookhaven Medical Center, PLLC
• Amberly Brown

• Family Nurse Practitioner in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.