Michele Denise Branagan, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN01327 Issued in RI

Practice address

30 Rolfe Square
Cranston, RI 02910

Phone

(401) 725-8400

Fax

(401) 725-8402

NPI assigned

Mar 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662
  NPD (past)
• Memorial Hospital

  • General Acute Care Hospital
  • Pawtucket, RI
  • NPI 1548696941
  NPD (past)
• Medoptions Behavioral Health Associates

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1174727978
  NPD (past)
• Medoptions Behavioral Health Associates

  • Clinical Psychologist
  • Old Saybrook, CT
  • NPI 1326242306
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1841269529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROLFE SQUARE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02910",
            "telephone_number": "401-725-8400",
            "fax_number": "401-725-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROLFE SQUARE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02910",
            "telephone_number": "401-725-8400",
            "fax_number": "401-725-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANAGAN",
        "first_name": "MICHELE",
        "middle_name": "DENISE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "NPP37094",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "NPP37094",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN01327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7058066",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Bourbonniere
• Linda A. Boutilier, LICSW
• Jacklyn Bradley, PA-C
• William M Bradley, LMT
• Amy Bragger, RN
• Alexandra Rae Branca, LICSW
• Mark R Brancato, LICAC
• Patrick Joseph Brannon, M.D.
• Regina Brannon, NP
• Doreen Marie Braz, APRN

• Gerontology Nurse Practitioner in Cranston, RI
• Providers in Cranston, RI by specialty
• Gerontology Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.