Brannen Winn

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

7126638-1702 Issued in UT

Practice address

10920 River Front Pkwy
South Jordan, UT 84095-3538

Phone

(801) 400-3535

NPI assigned

Nov 3, 2010

Sex

Male

Sole proprietor

Yes

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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1962703264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 WELL WOOD RD APT 30C",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 RIVER FRONT PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953538",
            "telephone_number": "801-400-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "BRANNEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": "7126638-1702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Nicole Willson, AUD
• Robert Wimmer, LCSW., MSCJA
• Alex Winder
• Sarah Windes, ACMHC
• Karen Kim Winegar, APRN
• Dorothy Sue Winters, CSW
• Brooke Wittman, CMHC
• Carina Paula Wolf, CSW
• Riley Nicole Wood, PT, DPT
• Joshua Woodland

• Student in an Organized Health Care Education/Training Program in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.