BRANDON O'BRIEN (NPI# 1376142802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376142802 |
| Entity Type | Individual |
| Full Name | BRANDON O'BRIEN |
| Practice Address |
1425 Columbus Ave Lebanon OH 45036-8258 |
| Mailing Address |
9997 Carver Rd Blue Ash OH 45242-5537 |
| Practice Telephone | 5132287340 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 86089674 | OH | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144693 | Brandon M O'brien | Home Health Aide | 10226 Old Ocean City Blvd Unit 2, Berlin, MD 21811-1196 | 2020-08-10 |
| 1407192057 | Brandon J O'brien | Contractor | 2614 E Denise Ave, Orange, CA 92867-1816 | 2012-12-28 |
| Street Address |
1425 COLUMBUS AVE |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-8258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093749798 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2006-07-10 |
| 1952869216 | Yoori Noh | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2019-03-06 |
| 1003281858 | Mallory Michelle Michna | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-12-04 |
| 1689057374 | Lauren Marie Robertson | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-06-30 |
| 1245623347 | Tiffany Owens | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-03-13 |
| 1326431784 | Chelsea Costello | Pharmacist | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-03-10 |
| 1346632494 | James Henderson | Pharmacist | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-02-26 |
| 1366834616 | Chris Stallo | Pharmacist | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-02-24 |
| 1336531938 | Matthew Moeller | Pharmacist | 1425 Columbus Ave, Lebanon, OH 45036-8258 | 2015-02-19 |
| 1902242241 | The Little Clinic of Ohio LLC | Nurse Practitioner | 1425 Columbus Ave, Lebanon, OH 45036 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053931121 | India B Mitchell | Dietetic Technician, Registered | 37 Graham Dr, Athens, OH 45701-1477 | 2020-04-19 |
| 1770113128 | Edward E Handley | Dietetic Technician, Registered | 2007 Crescent Blvd, Middletown, OH 45042-2269 | 2020-01-23 |
| 1447714142 | Wayne C Fox | Dietetic Technician, Registered | 9023 Lydia Cir, North Ridgeville, OH 44039-9713 | 2019-01-27 |
| 1164903977 | Vera Bartasavich | Dietetic Technician, Registered | 29600 Shaker Blvd, Pepper Pike, OH 44124-5035 | 2018-08-29 |
| 1154812725 | Jenna Hostetler | Dietetic Technician, Registered | 3638 Middle Urbana Rd, Springfield, OH 45502-9200 | 2018-05-19 |
| 1851894844 | Dyan Vansickle | Dietetic Technician, Registered | 1680 Clay Bank Rd, Logan, OH 43138-9187 | 2018-03-15 |
| 1619340684 | Kaleigh O'hara | Dietetic Technician, Registered | 72 Waterford Dr, Chagrin Falls, OH 44022-4271 | 2015-11-12 |
| 1871891374 | Karen Marie Russell | Dietetic Technician, Registered | 2203 Dessecker Dr Ne, Dover, OH 44622 | 2011-03-08 |
| 1144850546 | Jennifer R Helton | Dietetic Technician, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-01-24 |
| 1902436314 | Christine Louise Lostutter | Dietetic Technician, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-01-24 |
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| 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.