BRENDA MERCER ALLEN (NPI# 1134124589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134124589 |
| Entity Type | Individual |
| Full Name | BRENDA MERCER ALLEN |
| Credential | FNP |
| Practice Address |
1212 S Walnut St Fairmont NC 28340-1848 |
| Mailing Address |
60 Commerce Plz Pembroke NC 28372-7386 |
| Practice Telephone | 9106286711 |
| Practice Fax Number | 9106285735 |
| Mailing Telephone | 9105212900 |
| Mailing Fax Number | 9107759165 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2016-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0002-00860 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7005124 | 05 | |
| NC | MEDICARE PTAN | 2591371G | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1710201124 | Brenda Allen | Social Worker | 1152 Old Mcgehee Rd, Montgomery, AL 36105-3528 | 2010-03-15 |
| 1295941623 | Brenda J Allen | Nurse Practitioner | 4474 El Cajon Blvd, San Diego, CA 92115-4312 | 2007-05-15 |
| 1700895042 | Brenda O Allen | Respiratory Therapist, Registered | 5920 Sw 68th St, South Miami, FL 33143-3524 | 2006-08-05 |
| 1104338896 | Brenda Allen | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-11-02 |
| 1750665733 | Brenda S Allen | Pharmacist | 225 N Elm St, Centralia, IL 62801-3248 | 2011-10-07 |
| Street Address |
1212 S WALNUT ST |
| City | FAIRMONT |
| State | NC |
| Zip Code | 28340-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215578448 | Mary Alexis Britt | Pharmacist | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2019-09-29 |
| 1407219587 | Adam Gregory Myers | Physician Assistant | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2016-04-05 |
| 1225447972 | Melissa Seals | Counselor | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2014-08-07 |
| 1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
| 1265659189 | Steven A Mclean | Pharmacist | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2007-04-20 |
| 1528123387 | Karen R. Bissell | Internal Medicine | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2006-12-22 |
| 1700953940 | Wendell L Richardson | Family Medicine | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2006-11-30 |
| 1093899494 | Saqib Aziz | Internal Medicine | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2006-10-24 |
| 1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
| 1902898414 | Denis P Ricard | Physician Assistant | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2005-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
| 1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
| 1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
| 1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
| 1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
| 1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
| 1225039340 | Lionel Nelson Chamberlain | Optometrist | 204 Iona St, Fairmont, NC 28340-1616 | 2005-08-10 |
| 1417446097 | Samuel D Johnson Od Pllc | Optometrist | 204 Iona St, Fairmont, NC 28340-1616 | 2018-05-09 |
| Find all providers in zip 28340 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341253 | Elevation Family Wellness | Nurse Practitioner | 1044 Hite Cir, Fairmont, WV 26554-9398 | 2020-09-16 |
| 1700307519 | Brenda Jo Brubaker | Nurse Practitioner | 120 Maplewood Dr, Fairmont, WV 26554-2162 | 2017-06-30 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1881124428 | Kristen Cutright | Nurse Practitioner | 1325 Locust Ave # 32, Fairmont, WV 26554-1435 | 2017-06-15 |
| 1881021459 | Traci Layne Tannehill | Nurse Practitioner | 5 Erwin Ln Ste A, Fairmont, WV 26554-1376 | 2013-09-27 |
| 1205188240 | Kelly Jo Hazuka | Nurse Practitioner | 100 Avery Olivia Way Ste B, Fairmont, WV 26554-9375 | 2012-10-14 |
| 1255633103 | Christine Lynn Mott | Nurse Practitioner | 123 Michael Developement Rd, Fairmont, WV 26554-8637 | 2010-11-29 |
| 1467653139 | Mary Patricia Watson | Nurse Practitioner | 1201 Locust Avenue, Fairmont State University Student Health, Fairmont, WV 26554 | 2007-05-30 |
| 1639790389 | Melissa Kay Spring | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2020-05-05 |
| 1104462118 | Chelsy N Harmer | Nurse Practitioner | 1703 Locust Ave, Fairmont, WV 26554-1320 | 2019-11-25 |
| Find all providers in FAIRMONT | ||||
Please comment or provide details below to improve the information on BRENDA MERCER ALLEN.
| 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.