Individual provider Active NPI

Micaela Cliselda Brandy

  • Registered Nurse
  • Honolulu, HI
National Provider Identifier
1902448244
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95475 Issued in HI
Practice address
356 Apollo Ave
Honolulu, HI 96818-5951
Phone
(757) 771-3890
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95475 HI Primary

Addresses

Primary practice location

356 Apollo Ave
Honolulu, HI 96818-5951

Mailing address

356 Apollo Ave
Honolulu, HI 96818-5951
Phone (757) 771-3890

Other practice location 1

356 Apollo Ave
Honolulu, HI 96818-5951
Phone (757) 771-3890

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

LicenseStateTypeSpecialty
95475HIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1902448244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 APOLLO AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968185951",
            "telephone_number": "757-771-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 APOLLO AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968185951",
            "telephone_number": "757-771-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "356 Apollo Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968185951",
            "country_code": "US",
            "telephone_number": "757-771-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDY",
        "first_name": "MICAELA",
        "middle_name": "CLISELDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "95475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.