RENETTA ELAINE BREWER (NPI# 1750733408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750733408 |
| Entity Type | Individual |
| Full Name | RENETTA ELAINE BREWER |
| Other Name | RENETTA ELAINE DESKINS |
| Credential | NP-C |
| Practice Address |
4610 Kanawha Ave Sw Suite 402 South Charleston WV 25309-1367 |
| Practice Telephone | 3044004700 |
| Mailing Telephone | 3044004700 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN80717-NP-C | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4610 KANAWHA AVE SW SUITE 402 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396713137 | Thomas William Howard II | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309-1367 | 2006-03-09 |
| 1700246220 | Beckley Cardiovascular Specialists Inc | Internal Medicine | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2016-02-25 |
| 1497110019 | Lesa Adkins | Nurse Practitioner | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2015-12-25 |
| 1831536507 | Rheumatology Group, Pllc | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309-1367 | 2013-06-04 |
| 1386851988 | Suzanne Lee Gharib | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309 | 2007-05-16 |
| 1386650760 | Michael A Istfan | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309-1367 | 2006-07-31 |
| 1700845559 | Elie G Gharib | Internal Medicine | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| 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 |
|---|---|---|---|---|
| 1164039624 | Morgan Casto | Nurse Practitioner | 2666 Smith Creek Rd, South Charleston, WV 25309-8546 | 2020-09-29 |
| 1376557017 | Cynthia Ann Smith | Nurse Practitioner | 24 Maccorkle Avenue Sw, Suite 201, South Charleston, WV 25303-1478 | 2006-07-28 |
| 1699318824 | Alexandria Lauren Finney | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 402, South Charleston, WV 25309-1367 | 2019-10-21 |
| 1831573070 | Rachel P. Brill | Nurse Practitioner | 509 2nd Ave, South Charleston, WV 25303-1310 | 2015-07-17 |
| 1063742344 | Benjamin P Rice | Nurse Practitioner | 4607 Maccorkle Ave Sw Ste 406, South Charleston, WV 25309-1364 | 2010-01-08 |
| 1043545155 | Amy Kathryn Haught | Nurse Practitioner | 117 7th Ave, South Charleston, WV 25303-1417 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029443 | Cierra L Gladden | Nurse Practitioner | 312 Club House Dr, Evans, WV 25241-8055 | 2020-10-08 |
| 1164039061 | Andrea Jo Tanner | Nurse Practitioner | 266 Skidmore Ln, Sutton, WV 26601-9271 | 2020-09-25 |
| 1205441078 | Britney Michelle Hanshaw | Nurse Practitioner | 86 Mountain View Drive, Charlton Heights, WV 25040-0251 | 2020-09-09 |
| 1881206969 | Zachariah Redmond | Nurse Practitioner | 250 Retail Cir Ste 106, Morgantown, WV 26508-1677 | 2020-08-19 |
| 1407480031 | Lyndsey Shae Boatwright | Nurse Practitioner | 222 Ferndale Dr, Elkins, WV 26241-3010 | 2020-02-22 |
| 1659905297 | Savannah Jarvis | Nurse Practitioner | 389 Garretts Bnd, Griffithsville, WV 25521-4715 | 2020-02-22 |
| 1497394290 | Allison Smith | Nurse Practitioner | 1001 Centre Way, Charleston, WV 25309-9427 | 2019-12-27 |
| 1538706502 | Nicole Lynn Hutson | Nurse Practitioner | U.S. 250, Huttonsville, WV 26241-2624 | 2019-12-09 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1851936629 | Rebecca Lyne Ratliff | Nurse Practitioner | 121 George St, Beckley, WV 25801-2607 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on RENETTA ELAINE BREWER.
| 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.