Individual provider Active NPI

Brandi Janka, BSN RN

  • Personal Emergency Response Attendant
  • Grand Rapids, MI
National Provider Identifier
1932643897
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
4704246054 Issued in MI
Practice address
2627 E Beltline Ave SE Ste 210
Grand Rapids, MI 49546-5937
Phone
(616) 285-5100
Fax
(866) 941-7479
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 4704246054 MI Primary

Addresses

Primary practice location

2627 E Beltline Ave SE Ste 210
Grand Rapids, MI 49546-5937

Mailing address

2627 E Beltline Ave SE Ste 210
Grand Rapids, MI 49546-5937
Phone (616) 285-5100

Other names 1

  • Miss Brandi Janka Professional name

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704246054MIMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim Healthcare Services, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1932643897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 E BELTLINE AVE SE STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465937",
            "telephone_number": "616-285-5100",
            "fax_number": "866-941-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 E BELTLINE AVE SE STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465937",
            "telephone_number": "616-285-5100",
            "fax_number": "866-941-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKA",
        "first_name": "BRANDI",
        "name_prefix": "Miss",
        "credential": "BSN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "MI",
            "license": "4704246054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "JANKA",
            "prefix": "MISS",
            "credential": "BSN RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.