Brenda Brown RN LMT LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

33.006980 Issued in OH

Legal business name

BRENDA BROWN RN LMT LLC

Practice address

2700 E Main St
Suite 108
Bexley, OH 43209-2536

Phone

(614) 579-0356

NPI assigned

Mar 31, 2017

Last updated

Mar 31, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

BRENDA BROWN RN LMT LLCAs reported in NPPES

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

Authorized official

Name

Miss Brenda Lou Brown, MASSAGE THERAPIST

Title

Sole Proprieter

Phone

(614) 579-0356

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1801328513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E MAIN ST",
            "address_2": "SUITE 108",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092536",
            "telephone_number": "614-579-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E MAIN ST",
            "address_2": "SUITE 108",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092536",
            "telephone_number": "614-579-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA BROWN RN LMT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRENDA BROWN RN  LMT LLC",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "614-579-0356",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "33.006980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE ACCOUNTS FROM ORGANIZATIONS THAT PROVIDE MASSAGE",
            "identifier": "820875480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aaron Carroll, DDS
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• Exclusive Provider Organization in Bexley, OH
• Providers in Bexley, OH by specialty
• Exclusive Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.