LAURA ANN BRANDLE (NPI# 1114385721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114385721 |
| Entity Type | Individual |
| Full Name | LAURA ANN BRANDLE |
| Credential | ACNP |
| Practice Address |
3635 Bienville Blvd Ocean Springs MS 39564-5711 |
| Mailing Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Practice Telephone | 2288721951 |
| Practice Fax Number | 2288759998 |
| Mailing Telephone | 2284977576 |
| Mailing Fax Number | 2284978869 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
901455 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
901455 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
901455 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
901455 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
901455 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 625905 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1129 Ocean Springs Rd, Ocean Springs, MS 395643421 | 2282541366 | 2282541367 |
| Street Address |
3635 BIENVILLE BLVD |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508890765 | Alexander Drake Blevens | Orthopaedic Surgery | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2006-07-11 |
| 1083159099 | Amy Pontius | Registered Nurse | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2016-12-29 |
| 1174075329 | Veronica Sharp | Physician Assistant | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2016-11-03 |
| 1679956973 | Priyanka Srivastav | Internal Medicine | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2015-07-04 |
| 1639585094 | Talha Nawaz | Internal Medicine | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2014-07-07 |
| 1275966137 | Dipti Baral | Internal Medicine | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2013-08-14 |
| 1306286737 | Syed Abdullah Waheed | Internal Medicine | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2013-06-29 |
| 1467899120 | Joshua Mark Tate | Internal Medicine | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2013-06-03 |
| 1821194713 | Sardar Ijlal Babar | Internal Medicine | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2006-09-16 |
| 1093733172 | Charles Joseph Winters | Orthopaedic Surgery | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396922423 | Nancy A. Buckheister | Nurse Practitioner | 10404 Tucker Rd, Ocean Springs, MS 39565-7922 | 2008-01-31 |
| 1336128248 | Yvonne M Hicks | Nurse Practitioner | 3612 Groveland Rd., Ocean Springs, MS 39564-4308 | 2006-01-10 |
| 1134107139 | Kathleen Cecilia Arnold | Nurse Practitioner | 1278 Ocean Springs Rd, Ocean Springs, MS 39564-3409 | 2006-01-09 |
| 1467952069 | Jennifer Trump | Nurse Practitioner | 1129 Ocean Springs Rd, Ocean Springs, MS 39564 | 2018-02-20 |
| 1982062170 | Jamie Damico | Nurse Practitioner | 3603 Bienville Blvd, Suite 102, Ocean Springs, MS 39564-5727 | 2016-02-03 |
| 1659757870 | James Michael Jackson | Nurse Practitioner | 22a Doctors Dr, Ocean Springs, MS 39564-5721 | 2015-08-11 |
| 1518342963 | Nicholas L Pendleton | Nurse Practitioner | 22a Doctors Dr, Ocean Springs, MS 39564-5721 | 2015-07-28 |
| 1831512540 | Savannah Carter Mcdaniel | Nurse Practitioner | 3704 Bienville Blvd, Suite B, Ocean Springs, MS 39564-5710 | 2014-01-31 |
| 1750621900 | Amity Mcdonald Thompson | Nurse Practitioner | 3603 Bienville Blvd, Suite 103, Ocean Springs, MS 39564-5727 | 2013-02-26 |
| 1215067491 | Laresa Victoria Newton | Nurse Practitioner | 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 | 2007-03-06 |
| Find all providers in OCEAN SPRINGS | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
Please comment or provide details below to improve the information on LAURA ANN BRANDLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.