JOHANNA SHALOM BRUNING (NPI# 1407820632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407820632 |
| Entity Type | Individual |
| Full Name | JOHANNA SHALOM BRUNING |
| Credential | ARNP |
| Practice Address |
12410 E Sinto Ave Suite 101 Spokane Valley WA 99216-2199 |
| Mailing Address |
Po Box 3649 Spokane WA 99220-3649 |
| Practice Telephone | 5098382531 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007072 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9646514 | 05 | |
| WA | L&I | 0221856 | 01 |
| Street Address |
12410 E SINTO AVE SUITE 101 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578921755 | Donald Storey | Internal Medicine | 12410 E Sinto Ave, Suite B, Spokane Valley, WA 99216-2199 | 2016-02-03 |
| 1932265071 | Marie Frances Brenden | Nurse Practitioner | 12410 E Sinto Ave, Suite 101, Spokane Valley, WA 99216-2199 | 2006-12-30 |
| 1629140488 | Stephen Norman Schaefer | Physical Therapist | 12410 E Sinto Ave, Ste. 203, Spokane Valley, WA 99216-2199 | 2006-11-15 |
| 1508938333 | Eric Joseph Schaefer | Physical Therapist | 12410 E Sinto Ave, Ste. 203, Spokane Valley, WA 99216-2199 | 2006-11-15 |
| 1538244017 | Empire Star Ventures LLC | Clinic/Center | 12410 E Sinto Ave, Suite 203, Spokane Valley, WA 99216-2199 | 2006-10-25 |
| 1003828831 | Empire-star Ventures LLC | Physical Therapist | 12410 E Sinto Ave, #203, Spokane Valley, WA 99216-2199 | 2006-08-12 |
| 1356351738 | Timothy Lance Papineau | Physical Therapist | 12410 E Sinto Ave, #203, Spokane Valley, WA 99216-2199 | 2006-08-09 |
| 1558387746 | Wilfred Welby Cox | Internal Medicine | 12410 E Sinto Ave, Suite 101, Spokane Valley, WA 99216-2199 | 2006-07-14 |
| 1982673695 | Rhaejon M Smilden | Physician Assistant | 12410 E Sinto Ave, Suite 201, Spokane Valley, WA 99216-2280 | 2006-03-15 |
| 1356319008 | Steven M Sanwick | Orthopaedic Surgery | 12410 E Sinto Ave, Suite 201, Spokane Valley, WA 99216-2280 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720542301 | Oleg Sandulyak | Nurse Practitioner | 12709 E Mirabeau Pkwy Ste 200a, Spokane Valley, WA 99216-1665 | 2019-01-28 |
| 1497100598 | Ebere D. Ugorji | Nurse Practitioner | 521 N Argonne Rd Ste B101, Spokane Valley, WA 99212-2877 | 2016-04-27 |
| 1609115393 | Susan Schippman | Nurse Practitioner | 8817 E Mission Ave, Suite 106, Spokane Valley, WA 99212-5055 | 2013-01-31 |
| 1063639003 | Rebecca Lynne Reidy | Nurse Practitioner | 626 N Mullan Rd Ste 16, Spokane Valley, WA 99206-3858 | 2007-04-19 |
| 1821212671 | Barbara Jean Frey | Nurse Practitioner | 13221 E 32nd Ave, Spokane Valley, WA 99216-0138 | 2007-04-12 |
| 1922140904 | Christine A Muth | Nurse Practitioner | 18215 E Appleway Ave, Spokane Valley, WA 99016-9564 | 2007-02-13 |
| 1396833158 | Pamela J Vecchio | Nurse Practitioner | 9227 E Main Ave, Spokane Valley, WA 99206-3768 | 2006-10-10 |
| 1174551022 | Blaze J Burnham | Nurse Practitioner | 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 | 2006-06-29 |
| 1285611905 | Jennifer Chamberlain | Nurse Practitioner | 12104 E Main Ave, Spokane Valley, WA 99206-6105 | 2005-12-22 |
| 1295721439 | Andrea Balazs | Nurse Practitioner | 12410 E Sinto Ave Ste 101, Spokane Valley, WA 99216-2258 | 2005-09-22 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
Please comment or provide details below to improve the information on JOHANNA SHALOM BRUNING.
| 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.