Angela Danielle Branham

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2052353 Issued in KY

Practice address

1974 Walton Nicholson Pike
Independence, KY 41051-7906

Phone

(859) 359-5404

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1891332243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 ELKWOOD DR",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410059774",
            "telephone_number": "502-514-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 WALTON NICHOLSON PIKE",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410517906",
            "telephone_number": "859-359-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "ANGELA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "2052353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne Madelyn Boggs, PHARMD
• Karla Diane Boggs, LMT
• William Shannon Bond, TCADC
• Widalys Borges
• Mark G Bowling, MD
• Brandy Sullivan Branham, FNP
• Brittany Jo Branstutter
• Emily Mary Braunwart
• William Scott Breeze, ATC
• Jacob Britt, D.M.D.

• Licensed Practical Nurse in Independence, KY
• Providers in Independence, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.