Active NPI
Lillian Teicher Branham, NP
- Nurse Practitioner
- Madison, AL
National Provider Identifier
1811517402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-148613
- Practice address
- 382 Slaughter Rd
Madison, AL 35758-2008 - Phone
- (256) 428-1096
- Fax
- (256) 428-1098
- NPI assigned
- Apr 23, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-148613 | AL | Primary |
Addresses
Primary practice location
382 Slaughter Rd
Madison, AL 35758-2008
Mailing address
382 Slaughter Rd
Madison, AL 35758-2008
Phone (256) 428-1096
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-148613 | AL | MD | Nurse Practitioner |
Interoperability endpoints
- lillian.branham.p2@direct.alegiscare.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1811517402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 SLAUGHTER RD",
"city": "MADISON",
"state": "AL",
"postal_code": "357582008",
"telephone_number": "256-428-1096",
"fax_number": "256-428-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 SLAUGHTER RD",
"city": "MADISON",
"state": "AL",
"postal_code": "357582008",
"telephone_number": "256-428-1096",
"fax_number": "256-428-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANHAM",
"first_name": "LILLIAN",
"middle_name": "TEICHER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-148613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.