Individual provider Active NPI

Karen Arlene Branton, CNA

  • Nurse's Aide
  • Maryville, TN
National Provider Identifier
1972869006
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
103574 Issued in TN
Practice address
301 McGhee St
Maryville, TN 37801-6811
Phone
(865) 983-4582
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
103574TNMDNurse's Aide

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 103574 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

301 McGhee St
Maryville, TN 37801-6811

Mailing address

301 McGhee St
Maryville, TN 37801-6811
Phone (865) 983-4582

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
130574OtherTNCNA LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2012.

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1972869006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCGHEE ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378016811",
            "telephone_number": "865-983-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCGHEE ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378016811",
            "telephone_number": "865-983-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTON",
        "first_name": "KAREN",
        "middle_name": "ARLENE",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": "103574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA LICENSE",
            "identifier": "130574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.