JENNIFER LAUREN BRODSKY (NPI# 1427480136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427480136 |
| Entity Type | Individual |
| Full Name | JENNIFER LAUREN BRODSKY |
| Practice Address |
3451 E 12th St 2nd Floor Oakland CA 94601-3463 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 5105354000 |
| Practice Fax Number | 5105354128 |
| Mailing Telephone | 5105352965 |
| Mailing Fax Number | 5105354128 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 23363 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3451 E 12TH ST 2ND FLOOR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144336181 | La Clinica De La Raza Inc | Clinical Medical Laboratory | 3451 E 12th St, Oakland, CA 94601-3425 | 2006-08-22 |
| 1013529338 | Alexander De Jesus Chavarria | Social Worker | 3451 E 12th St, Oakland, CA 94601-3463 | 2020-08-18 |
| 1023666054 | Rebecca Rush | Registered Nurse | 3451 E 12th St, Oakland, CA 94601-3463 | 2019-09-03 |
| 1316405574 | Norma Ruiz Iniguez | Nurse Practitioner | 3451 E 12th St, Oakland, CA 94601-3463 | 2019-03-06 |
| 1184194482 | La Clinica De La Raza, Inc. | Pharmacy | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-11-29 |
| 1740764901 | Christian Eloy Martinez | Physician Assistant | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-09-23 |
| 1629550454 | Sophia Helen Nogue | Registered Nurse | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-08-29 |
| 1225518533 | Judy Sungwon Hong | Nurse Practitioner | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-08-16 |
| 1659883643 | Yesenia Ramirez-bonilla | Counselor | 3451 E 12th St, Oakland, CA 94601-3463 | 2017-10-30 |
| 1053841387 | Jessie Liu | Family Medicine | 3451 E 12th St, Oakland, CA 94601-3463 | 2017-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124402888 | Christine Wilson | Nurse Practitioner | 710 Regina Cir, Oakland, FL 34787-8961 | 2015-07-13 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1750523767 | Cara Susan Stone | Nurse Practitioner | 1682 7th St, Oakland, CA 94607-1351 | 2009-04-06 |
| 1275789935 | Tippini Lott | Nurse Practitioner | 14101 Hickory Street, Oakland, MS 38948-0000 | 2008-08-13 |
| 1861607764 | Lisa Marie Thompson | Nurse Practitioner | 3541 E. 12th Street, Oakland, CA 94601 | 2007-05-14 |
| 1700986056 | Katherine Anne Rhodes | Nurse Practitioner | 4351 Broadway, Oakland, CA 94611-4612 | 2006-09-25 |
| 1477667798 | Emerlinda Imperio | Nurse Practitioner | 19 Yawpo Ave, Oakland, NJ 07436-2739 | 2006-08-17 |
| 1629092945 | Kelly A. Maris-weissburg | Nurse Practitioner | 80 Grand Ave Ste 602, Oakland, CA 94612-3744 | 2006-07-27 |
| 1730108309 | Mitchell D'arata | Nurse Practitioner | 3100 Summit Street, Oakland, CA 94609-0000 | 2006-07-18 |
| 1548205115 | Rebecca N. Faith | Nurse Practitioner | 350 30th St Ste 320, Oakland, CA 94609-3425 | 2006-06-18 |
| 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.