MRS. KARIN KAY BREWER


Address: 1319 Summit Ave, Fort Worth, TX 76102-4431
Phone: 8175695050

MRS. KARIN KAY BREWER (NPI# 1114357027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114357027
Entity Type Individual
Full Name MRS. KARIN KAY BREWER
Credential MSN, APRN, PMHNP
Practice Address 1319 Summit Ave
Fort Worth
TX 76102-4431
Mailing Address 100 N Lamar St
Fort Worth
TX 76102-1954
Practice Telephone 8175695050
Mailing Telephone 8178843229
Enumeration Date 2013-11-14
Last Update Date 2017-09-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
723109 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE 341974YRK5 01
MEDICAID CSHCN NUMBER 331835402 01
BLUE CROSS BLUE SHIELD 8206NJ 01
TX 331835401 05

Office Location

Street Address 1319 SUMMIT AVE
City FORT WORTH
State TX
Zip Code 76102-4431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598705477 Paul Henry Cho Neurological Surgery 1319 Summit Ave, Suite 200, Fort Worth, TX 76102-4431 2006-06-07
1629557806 Michele L Wallis Registered Nurse 1319 Summit Ave, Fort Worth, TX 76102-4431 2018-08-09
1508345851 Andrew L Marvin Registered Nurse 1319 Summit Ave, Fort Worth, TX 76102-4431 2018-08-08
1043799455 Caroline A Ehiem Owiti Registered Nurse 1319 Summit Ave, Fort Worth, TX 76102-4431 2018-08-08
1104305317 Laura A Swartzendruber Registered Nurse 1319 Summit Ave, Fort Worth, TX 76102-4431 2018-08-08
1255810487 Vanessa Almodovar Social Worker 1319 Summit Ave, Fort Worth, TX 76102-4431 2018-08-08
1265911614 Julia E Denny Registered Nurse 1319 Summit Ave, Fort Worth, TX 76102-4431 2018-08-07
1730349952 Melissa De Ann Hill Specialist/Technologist, Other 1319 Summit Ave, Suite 200, Fort Worth, TX 76102-4431 2008-06-11
1215005285 Ruth Ann Dunn Registered Nurse 1319 Summit Ave, Suite 200, Fort Worth, TX 76102-4431 2006-11-30
1366521239 Shannon Deann Carey Registered Nurse 1319 Summit Ave, Suite 200, Fort Worth, TX 76102-4431 2006-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285113746 Deirdre P Browne Counselor 1500 E El Paso, Fort Worth, TX 76102 2018-08-07
1740784206 Cvs Pharmacy Inc Pharmacy 515 Houston St, Fort Worth, TX 76102 2018-03-20
1316448061 Diondra Deshawn Narcisse Licensed Vocational Nurse 1314 Lake Street, Fort Worth, TX 76102 2018-02-27
1649779943 Carmela A Solis Specialist/Technologist, Other 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 2018-02-02
1104324516 Vicki Webb-baker Health Educator 512 Lamar Street, Suite 400, Fort Worth, TX 76102 2018-01-31
1235647678 Brianna Marie Keister Occupational Therapist 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 2018-01-19
1437507910 Medical Hearing Services, LLC Hearing Aid Equipment 1201 Summit Avenue, Fort Worth, TX 76102 2016-05-25
1891171476 Karis Starke Physical Therapy Assistant 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 2015-08-05
1265839344 Fm Katy Dental and Orthodontics, Pllc Dentist 100 E 15th Ste 520, Fort Worth, TX 76102 2014-12-04
1093134512 Superior Evaluation Services General Practice 420 Throckmorton Suite 200, Ft. Worth, TX 76102 2014-04-11
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386257814 Daniel Oyewusi Oyewole Nurse Practitioner 4051 Hunters Creek Dr, Fort Worth, TX 76123-2549 2020-08-25
1174147037 Ugbodu Ene Awoniyi Nurse Practitioner 4924 Cliburn Dr, Fort Worth, TX 76244-6130 2020-06-05
1346863925 Lynnetta Vanice Cheeks Nurse Practitioner 6101 Saddlepack Dr, Fort Worth, TX 76123-1591 2020-05-18
1073143160 Dorcas Mwangi Nurse Practitioner 4809 Campfire Ct, Fort Worth, TX 76244-7922 2020-01-17
1497390686 Chigane Abraham Nurse Practitioner 8609 Glenburne Dr, Fort Worth, TX 76131 2019-11-12
1457895666 Paul Geise Nurse Practitioner 3501 Ne Loop 820, #306, Fort Worth, TX 76137-2415 2016-12-06
1477005007 Amie Wolverton Riddle Nurse Practitioner 320 Silver Canyon Dr, Fort Worth, TX 76108-9612 2016-10-31
1659742211 Kamesha Roshun Mitchell Nurse Practitioner 3100 Hulen St, Fort Worth, TX 76107 2015-10-08
1255592424 Akosua Serwaa Obeng Nurse Practitioner 8949 Silent Brook Ln, Fort Worth, Fort Worth, TX 76244-4946 2008-06-20
1154518470 Dawn Dean Nurse Practitioner 124 Cooks Ln, Fort Worth, TX 76120-2016 2007-10-01
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Competitor

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City FORT WORTH
Zip Code 76102

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Dataset Information

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.

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