MRS. HEIDY REBEKAH BRILLHART (NPI# 1699002253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699002253 |
| Entity Type | Individual |
| Full Name | MRS. HEIDY REBEKAH BRILLHART |
| Credential | APRN |
| Practice Address |
411 Sunset Elkhart KS 67950-0460 |
| Mailing Address |
P.o. Box 460 411 Sunset Elkhart KS 67950-0460 |
| Practice Telephone | 6206972175 |
| Practice Fax Number | 6206972185 |
| Mailing Telephone | 6206972175 |
| Mailing Fax Number | 6206972185 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2017-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-76427-042 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0072633 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
53-76427-042 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201108100A | 05 |
| Street Address |
411 SUNSET |
| City | ELKHART |
| State | KS |
| Zip Code | 67950-0460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576464 | Dominador T Perido Jr. | Surgery | 411 Sunset, Elkhart, KS 67950-0997 | 2005-08-26 |
| 1912195728 | Morton County Hospital | Surgery | 411 Sunset, Elkhart, KS 67950-0460 | 2007-10-05 |
| 1932314762 | Morton County Hospital | Family Medicine | 411 Sunset, Elkhart, KS 67950 | 2007-05-14 |
| 1083725139 | Dominador T. Perido Md Pa | Family Medicine | 411 Sunset, Elkhart, KS 67950-0997 | 2006-08-31 |
| 1700831229 | Morton County Hospital | Psychiatry & Neurology | 411 Sunset, Elkhart, KS 67950 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407219017 | Elkhart Dental LLC | Dentist | 509 S. Cosmos, Elkhart, KS 67950 | 2016-03-31 |
| 1629452875 | Morton County Snf Opco LLC | Skilled Nursing Facility | 400 Buckmaster Drive, Elkhart, KS 67950 | 2015-07-17 |
| 1093961989 | Morton County Hospital | Assisted Living Facility | 500 4th Street, Elkhart, KS 67950 | 2008-08-12 |
| 1700943735 | Morton County Hospital | Nursing Facility/Intermediate Care Facility | 400 Buckmaster Dr, Elkhart, KS 67950 | 2007-01-02 |
| 1700989092 | County of Morton | Ambulance | 722 Stevens Avenue, Elkhart, KS 67950 | 2006-09-05 |
| 1689601007 | Morton County Hospital | Radiology | 445 Hilltop Street, Elkhart, KS 67950 | 2006-06-28 |
| 1396785903 | Tanya Jan Pittman Navarrette | Emergency Medicine | 445 Hilltop, Elkhart, KS 67950 | 2006-06-08 |
| 1639176969 | Olivia Nunez Iway | Psychiatry & Neurology | 411 Sunset Dr., Elkhart, KS 67950 | 2005-07-01 |
| 1316944879 | Belino Derocho Iway | Internal Medicine | 411 Sunset Dr, Elkhart, KS 67950 | 2005-06-30 |
| 1275918047 | Morton County Snf Opco LLC | Assisted Living Facility | 400 Buckmaster Drive, Elkhart, KS 67950 | 2015-07-22 |
| Find all providers in zip 67950 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114165958 | Lori Nan Gibson | Clinical Nurse Specialist | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649331281 | Tamara L Farmer | Clinical Nurse Specialist | 802 West Broadway, Stafford, KS 67578-0309 | 2006-12-13 |
| 1013904960 | Susan Hasselle | Clinical Nurse Specialist | 900 Massachusetts St, Lawrence, KS 66044-2868 | 2005-10-04 |
| 1336133032 | Gretchen L Trendel | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2005-09-08 |
| 1205830783 | Deborah C Murphy | Clinical Nurse Specialist | 9415 E Harry St, Ste 800, Wichita, KS 67207-5084 | 2005-06-13 |
| 1356345805 | Diane A Gaunt | Clinical Nurse Specialist | 9415 E Harry, Bldg 800, Wichita, KS 67207-5072 | 2005-06-10 |
| 1609418763 | Sospeter Otieno | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2019-10-10 |
| 1881094902 | Ashley Melugin | Clinical Nurse Specialist | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2014-08-26 |
| 1548557564 | Diane G Knapic | Clinical Nurse Specialist | 8000 W 127th St, Overland Park, KS 66213-2714 | 2011-06-29 |
| 1073781407 | Annette Stagg | Clinical Nurse Specialist | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2008-02-19 |
| 1255483772 | Tamara K Canterbury | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2007-01-17 |
| Find all providers with the same taxonomy | ||||
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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.