Brandy Rene Treagesser

Primary specialty

Perinatal Registered NurseTaxonomy code 163WP1700X

License

112563 Issued in OK

Practice address

1313 E 20TH St
Okmulgee, OK 74447-6303

Phone

(918) 591-5783

Fax

(918) 591-5791

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

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

Other names 1

• Mrs. Brandy Rene Treagesser Professional name

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1932683687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E 20TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476303",
            "telephone_number": "918-591-5783",
            "fax_number": "918-591-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E 20TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476303",
            "telephone_number": "918-591-5783",
            "fax_number": "918-591-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREAGESSER",
        "first_name": "BRANDY",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "OK",
            "license": "112563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "TREAGESSER",
            "middle_name": "RENE",
            "prefix": "MRS.",
            "credential": "BSN RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Nurse in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.