Individual provider Active NPI

Patricia Louise Brainard, RN

  • Registered Nurse
  • Apalachin, NY
National Provider Identifier
1962787846
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
268115-1 Issued in NY
Practice address
405 Pennsylvania Ave
Apalachin, NY 13732-2411
Phone
(607) 687-6280
Fax
(607) 625-5811
NPI assigned
Oct 11, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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 268115-1 NY Primary

Addresses

Primary practice location

405 Pennsylvania Ave
Apalachin, NY 13732-2411

Mailing address

405 Pennsylvania Ave
Apalachin, NY 13732-2411
Phone (607) 687-6280

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
268115-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1962787846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PENNSYLVANIA AVE",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137322411",
            "telephone_number": "607-687-6280",
            "fax_number": "607-625-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PENNSYLVANIA AVE",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137322411",
            "telephone_number": "607-687-6280",
            "fax_number": "607-625-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAINARD",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "268115-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.