Active NPI
Juanita Alesia Brand
- Student in an Organized Health Care Education/Training Program
- Martinsburg, WV
National Provider Identifier
1851856033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 439
- Practice address
- 715 Brown Rd
Martinsburg, WV 25404-7282 - Phone
- (304) 267-3300
- Fax
- (304) 274-1876
- NPI assigned
- Feb 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 439 | WV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 439 | WV | Primary |
Addresses
Primary practice location
715 Brown Rd
Martinsburg, WV 25404-7282
Mailing address
715 Brown Rd
Martinsburg, WV 25404-7282
Phone (304) 267-3300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 439 | WV | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1851856033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 BROWN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254047282",
"telephone_number": "304-267-3300",
"fax_number": "304-274-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 BROWN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254047282",
"telephone_number": "304-267-3300",
"fax_number": "304-274-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAND",
"first_name": "JUANITA",
"middle_name": "ALESIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-01",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "439",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WV",
"license": "439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.