JANISE A BREWINGTON (NPI# 1770584807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770584807 |
| Entity Type | Individual |
| Full Name | JANISE A BREWINGTON |
| Credential | FNP |
| Practice Address |
4705 Alt 19 Ste B Palm Harbor FL 34683-1424 |
| Practice Telephone | 7277874875 |
| Practice Fax Number | 7277869623 |
| Mailing Telephone | 7277874875 |
| Mailing Fax Number | 7277869623 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 031848-RN | NC | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 200856 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN1451072 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
031848-RN | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7005525 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1718 E 4th St Ste 501, Charlotte, NC 282043197 | 7043439800 | 7043472011 |
| 17220 Northcross Dr, Ste 110, Huntersville, NC 280785064 | 7043848720 | 7043848747 |
| Street Address |
4705 ALT 19 STE B |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34683-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679582142 | Norman S Abbott Jr. | Internal Medicine | 4705 Alt 19 Ste B, Palm Harbor, FL 34683-1424 | 2006-08-05 |
| 1891721403 | Christopher W. Lay | Internal Medicine | 4705 Alt 19 Ste B, Palm Harbor, FL 34683 | 2006-06-24 |
| 1033154554 | Linda L. Diedriech | Internal Medicine | 4705 Alt 19 Ste B, Palm Harbor, FL 34683-1424 | 2006-06-18 |
| 1184612814 | Chiquita Lashane Berg | Obstetrics & Gynecology | 4705 Alt 19 Ste B, Palm Harbor, FL 34683-1424 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659939338 | Douglas W Webster | Social Worker | 3023 Us 19 Alternate, Suite 102, Palm Harbor, FL 34683 | 2019-05-29 |
| 1043774003 | Edward G Mackay, Md and Associates, LLC | Phlebology | 2863 Alternate 19 North, Palm Harbor, FL 34683 | 2019-01-24 |
| 1386178739 | The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc | Pediatrics | 14499 North Dale Mabry Hwy, Suite 180-s, Tampa, FL 34683 | 2017-04-12 |
| 1154785855 | David Blair | Nurse Anesthetist, Certified Registered | 492 Lakeview Dr, 40, Palm Harbor, FL 34683 | 2016-04-08 |
| 1043688773 | Counseling Options LLC | Counselor | 2706 Alternate 19 N, Suite 219, Palm Harbor, FL 34683 | 2015-09-11 |
| 1295144699 | Charisse Renee Diaz | Counselor | 2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683 | 2014-08-11 |
| 1295153658 | Family Private Care Inc | Home Health | 3060 Alternate Us 19, Suite B-15, Palm Harbor, FL 34683 | 2014-04-02 |
| 1649696360 | Aghapy Care LLC | Psychologist | 989 Skye Lane, Palm Harbor, FL 34683 | 2014-03-06 |
| 1225465164 | Angel R Reale | Counselor | 2311 Alternate 19 N, Suite 1, Palm Harbor, FL 34683 | 2013-10-10 |
| 1699010660 | Pamela Ann Mullenbruck | Physical Therapy Assistant | 2208 Andover Circle, Palm Harbor, FL 34683 | 2012-12-03 |
| Find all providers in zip 34683 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042147 | Patrick Curry | Nurse Practitioner | 2815 Us-19 Alt, Suite B, Palm Harbor, FL 34684 | 2020-08-05 |
| 1013526052 | Amanda Van Hook | Nurse Practitioner | 1617 Cumberland Ct E, Palm Harbor, FL 34683-4860 | 2020-07-27 |
| 1740823723 | Aundrea Shalise Guillaume-sponsel | Nurse Practitioner | 2626 Tampa Rd Ste 204, Palm Harbor, FL 34684-3111 | 2019-10-23 |
| 1124572011 | Heather Aynne Vernillo | Nurse Practitioner | 3060 Alt 19 # B-4, Palm Harbor, FL 34683-1929 | 2016-08-08 |
| 1235586108 | Kristie Mothershead | Nurse Practitioner | 34866 Us Highway 19 N # 27, Palm Harbor, FL 34684-1918 | 2016-05-19 |
| 1912268889 | Jana Elizabeth Antonelli | Nurse Practitioner | 749 Heathrow Lane, Palm Harbor, FL 34683 | 2012-06-06 |
| 1427662444 | Jacquelyn Bliss Katchuk Sexton | Nurse Practitioner | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2020-09-08 |
| 1134684665 | Jessica D Koehler | Nurse Practitioner | 4150 Woodlands Pkwy, Palm Harbor, FL 34685-3495 | 2019-02-08 |
| 1578059606 | Julie Corinne Bucciarelli | Nurse Practitioner | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2018-07-01 |
| 1679098404 | Nicole Marie Ferreira | Nurse Practitioner | 33670 Us Highway 19 N, Palm Harbor, FL 34684-2640 | 2017-08-14 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34683 |
Please comment or provide details below to improve the information on JANISE A BREWINGTON.
| 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.