MS. MARY JAYNE BRENNAN (NPI# 1164424628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164424628 |
| Entity Type | Individual |
| Full Name | MS. MARY JAYNE BRENNAN |
| Credential | ARNP |
| Practice Address |
12955 Palms West Dr Ste 100 Building 8 Loxahatchee FL 33470-4993 |
| Mailing Address |
1920 Palm Beach Lakes Blvd Ste 201 West Palm Beach FL 33409-3506 |
| Practice Telephone | 5617982468 |
| Practice Fax Number | 5617982733 |
| Mailing Telephone | 5615095009 |
| Mailing Fax Number | 5617381822 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
762192 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 303556500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730334095 | Mary Ann Brennan | Physical Therapy Assistant | 2264 Woodview Dr, Apt # 386, Ypsilanti, MI 48198-6839 | 2008-11-28 |
| 1316149537 | Mary Brennan | Physical Therapist | 56 Harborview Dr, Hancock, ME 04640 | 2007-06-01 |
| 1205902244 | Mary T Brennan | Speech-Language Pathologist | 5577 Vanbarr Place, Suite 7, Freeland, WA 98249 | 2006-11-28 |
| 1780789768 | Mary Susan Brennan | Chiropractor | 555 Tachevah Drive, 1 West #204, Palm Springs, CA 92262 | 2006-09-14 |
| 1861485872 | Mary E Brennan | Registered Nurse | 1405 Delaware St, Longview, WA 98632-2326 | 2005-08-24 |
| 1386280238 | Mary Kathleen Brennan | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-11-25 |
| 1457868929 | Mary S Brennan | Speech-Language Pathologist | 1330 E Arlington Blvd Ste A, Greenville, NC 27858-7850 | 2018-01-05 |
| 1134570831 | Mary Brennan | Speech-Language Pathologist | 111 Dodge St, Beverly, MA 01915-1827 | 2016-06-24 |
| 1033565668 | Mary Brennan | Pediatrics | 100 Woods Rd, Valhalla, NY 10595-1530 | 2016-05-12 |
| 1356770432 | Mary Brennan | Psychologist | 29887 W 11 Mile Rd, Farmington Hills, MI 48336-1309 | 2013-11-08 |
| Street Address |
12955 PALMS WEST DR STE 100 BUILDING 8 |
| City | LOXAHATCHEE |
| State | FL |
| Zip Code | 33470-4993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887049 | Sandra Smith Harmon | Pediatrics | 12955 Palms West Dr, Ste 100, Building 8, Loxahatchee, FL 33470-4993 | 2005-08-09 |
| 1831623602 | Palm Beach Surgical Associates, LLC | Surgery | 12955 Palms West Dr, Suite 101, Loxahatchee, FL 33470-4993 | 2017-04-18 |
| 1295286235 | Recovery Resort of The Palm Beaches LLC | Substance Abuse Rehabilitation Facility | 12955 Palms West Dr, Suite 202, Loxahatchee, FL 33470-4993 | 2016-10-14 |
| 1104132927 | Ricardo Aleman Chinea | Family Medicine | 12955 Palms West Dr, Ste 101, Loxahatchee, FL 33470-4993 | 2010-08-31 |
| 1629259072 | Palm Beach Pediatrics | Psychologist | 12955 Palms West Dr, Ste 100 Building 8, Loxahatchee, FL 33470-4993 | 2007-11-14 |
| 1164616157 | Mohammad M. Yaqub | Internal Medicine | 12955 Palms West Dr, Suite 201, Loxahatchee, FL 33470-4993 | 2007-09-01 |
| 1487730552 | Jennifer Christie Goodwin | Pediatrics | 12955 Palms West Dr, Building 8, Suite 100, Loxahatchee, FL 33470-4993 | 2006-10-31 |
| 1427139328 | Prettelt Center for Family Health Pa | Family Medicine | 12955 Palms West Dr, #101, Loxahatchee, FL 33470-4993 | 2006-10-18 |
| 1922189919 | Javier E Prettelt | Family Medicine | 12955 Palms West Dr, #101, Loxahatchee, FL 33470-4993 | 2006-10-18 |
| 1598854754 | Edgar Alberto Prettelt | Family Medicine | 12955 Palms West Dr, Building 8 . Suite 101, Loxahatchee, FL 33470-4993 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638139 | Jang Nga Zeng | Physician Assistant | 5980 Kingfisher Blvd, Westlake, FL 33470 | 2020-01-16 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| 1952870818 | Luz Miryan Alexandra Torrente | Behavior Technician | 15932 75th Ln, Loxahatchee, FL 33470 | 2018-11-20 |
| 1508365495 | Simone E Mack | Counselor | 17334 W. Sycamore Dr., Loxahatchee, FL 33470 | 2018-02-06 |
| 1578083218 | Lugdie Marguerite Jonassaint | Registered Nurse | 14842-69 Street N., Treasured Lives Alf Inc C/o Lugdie Jonassaint, Loxahatchee, FL 33470 | 2017-06-23 |
| 1255877932 | Jose Desmarais | Nurse Practitioner | 12953 Palms West Dr Ste 102, Loxahatchee, FL 33470 | 2017-01-18 |
| 1457704314 | Premier Transitions Mht LLC | Internal Medicine | 17888 67th Court North, Loxahatchee, FL 33470 | 2016-07-15 |
| 1851747083 | Groves Dental Care P.a. | Clinic/Center | 15673 Southern Blvd., 109, Loxahatchee Groves, FL 33470 | 2016-05-06 |
| 1376959486 | Yun-long Chi | Acupuncturist | 12957 Palms West Dr Ste 201, Loxahatchee, FL 33470 | 2014-07-09 |
| 1629334081 | Kui-tzu Victoria Feng | Internal Medicine | 12957 Palms West Dr Ste 204, Loxahatchee, FL 33470 | 2012-04-10 |
| Find all providers in zip 33470 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760905285 | Alyssa Ausnehmer | Nurse Practitioner | 12959 Palms West Dr Ste 120, Loxahatchee, FL 33470-4938 | 2017-07-18 |
| 1801439542 | Anna Pavlovna Jackson | Nurse Practitioner | 13005 Southern Blvd, Medical Mall 2, Suite 224, Loxahatchee, FL 33470 | 2019-10-25 |
| 1508361387 | Alejandra Pozzo Stevenson | Nurse Practitioner | 12959 Palms West Dr Ste 120, Loxahatchee, FL 33470-4938 | 2018-03-26 |
| 1255450953 | Michelle Lee Jampol | Nurse Practitioner | 12959 Palms West Dr, Suite 120, Loxahatchee, FL 33470-4937 | 2007-03-27 |
| 1083698476 | Novette Sandra Green | Nurse Practitioner | 12959 Palms West Dr, Suite 120, Loxahatchee, FL 33470-4937 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
| City | LOXAHATCHEE |
| Zip Code | 33470 |
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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.