Active NPI
Brandi Jennings
- Massage Therapist
- Columbia, SC
National Provider Identifier
1881413557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11639
- Practice address
- 1324 Gadsden St Apt B
Columbia, SC 29201-6006 - Phone
- (803) 463-4074
- NPI assigned
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11639 | SC | Primary |
Addresses
Primary practice location
1324 Gadsden St Apt B
Columbia, SC 29201-6006
Mailing address
111 Elders Pond Cir Apt 6G
Columbia, SC 29229-8157
Phone (803) 463-4074
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1881413557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELDERS POND CIR APT 6G",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298157",
"telephone_number": "803-463-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 GADSDEN ST APT B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292016006",
"telephone_number": "803-463-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "BRANDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "SC",
"license": "11639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.