Active NPI
Andrew Spencer Brawner
- Health & Wellness Coach
- Lincoln, RI
National Provider Identifier
1902649130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- A-3856667
- Practice address
- 18 E Butterfly Way
Lincoln, RI 02865-3933 - Phone
- (856) 904-0962
- NPI assigned
- Jun 15, 2024
- Last updated
- Jun 19, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | A-3856667 | Primary |
Addresses
Primary practice location
18 E Butterfly Way
Lincoln, RI 02865-3933
Mailing address
4 Appleseed Dr
Greenville, RI 02828-1102
Phone (856) 904-0962
Other practice location 1
4 Appleseed Dr
Greenville, RI 02828-1102
Phone (856) 904-0962
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": "1718409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1902649130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 APPLESEED DR",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281102",
"telephone_number": "856-904-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E BUTTERFLY WAY",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028653933",
"telephone_number": "856-904-0962"
}
],
"practiceLocations": [
{
"address_1": "4 Appleseed Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "RI",
"postal_code": "028281102",
"country_code": "US",
"telephone_number": "856-904-0962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAWNER",
"first_name": "ANDREW",
"middle_name": "SPENCER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-15",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": "A-3856667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.