ELLEN PRUEHER BRENNAN (NPI# 1376618702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376618702 |
| Entity Type | Individual |
| Full Name | ELLEN PRUEHER BRENNAN |
| Credential | FNP |
| Practice Address |
280 W Macarthur Blvd Occupational Medicine Oakland CA 94611-5642 |
| Mailing Address |
1022 Marie Ave Martinez CA 94553-3521 |
| Practice Telephone | 5107536972 |
| Mailing Telephone | 5107526972 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
217437 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427190784 | Ellen Brennan | Licensed Practical Nurse | 1133 Governor House Cir, Wilmington, DE 19809-2415 | 2007-02-13 |
| 1174732325 | Ellen M Brennan | Marriage & Family Therapist | 5310 W Thunderbird Rd, Suite 268, Glendale, AZ 85306-4722 | 2007-05-22 |
| Street Address |
280 W MACARTHUR BLVD OCCUPATIONAL MEDICINE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113236 | Kathleen Elizabeth Weston | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2005-09-02 |
| 1174033062 | Jennifer Dacuma Darden | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2017-10-04 |
| 1487026225 | Sarah De La Cerda | Social Worker | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-10-20 |
| 1548654007 | Tiffany Tsai | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-03-23 |
| 1720472277 | Bryan Lee | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-03-23 |
| 1003220310 | Jessica Chang | Pharmacist | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-06-13 |
| 1831502541 | Martha Jane Elster | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-06-10 |
| 1346650090 | Spencer Christensen | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611 | 2014-05-03 |
| 1063822138 | Talya Judith Brettler | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Rm. #118, Oakland, CA 94611-5642 | 2014-04-29 |
| 1194145920 | Mala Kokila Krishnamoorthy | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777386 | Jonathan Josue Grijalva | Nurse Practitioner | 1909 White Feather Loop, Oakland, FL 34787-8127 | 2020-10-14 |
| 1790313047 | Macy Sun | Nurse Practitioner | 1806 9th Ave, Oakland, CA 94606-3020 | 2020-03-31 |
| 1073157756 | Theola J Rivera | Nurse Practitioner | 889 Wynstone Cir N, Oakland, MI 48363-1605 | 2019-11-05 |
| 1326692211 | Shanna Lee | Nurse Practitioner | 35 Buena Vista Pl, Oakland, CA 94618-2132 | 2019-07-29 |
| 1184287682 | Kristine Dionne Williams | Nurse Practitioner | 3847 Rhoda Ave, Oakland, CA 94602-3322 | 2019-04-19 |
| 1346702404 | Whitney Karr | Nurse Practitioner | 65 Thousand Oaks St, Oakland, CA 94605-4618 | 2019-04-05 |
| 1982104360 | Brandi Sue Paugh | Nurse Practitioner | 241 N 4th St, Oakland, MD 21550-1375 | 2018-02-13 |
| 1164930533 | Brookside Health & Wellness LLC | Nurse Practitioner | 6500 Thayer Center, Oakland, MD 21550-1116 | 2018-01-18 |
| 1356870315 | Ayelet Cohen | Nurse Practitioner | 333 Park View Ter Apt 2, Oakland, CA 94610-4646 | 2017-06-05 |
| 1679014534 | Priscilla Beach Brown | Nurse Practitioner | 138 Monte Cresta Ave Apt 206, Oakland, CA 94611-4805 | 2017-03-12 |
| Find all providers in OAKLAND | ||||
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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.