JUDY A. BRENEK (NPI# 1811922024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811922024 |
| Entity Type | Individual |
| Full Name | JUDY A. BRENEK |
| Credential | RN/CNP |
| Practice Address |
1005 Bellefontaine Ave Suite 100 Lima OH 45804-2851 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4192275298 |
| Practice Fax Number | 4192275879 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.04615 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | RN162141 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2134158 | 05 |
| Street Address |
1005 BELLEFONTAINE AVE SUITE 100 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313171 | Marcus F Cox | Surgery | 1005 Bellefontaine Ave, Suite 260, Lima, OH 45804-2851 | 2005-08-10 |
| 1003196114 | Stacy Jo Klass | Nurse Practitioner | 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804-2851 | 2011-08-19 |
| 1710121132 | Nasim Mastouri | Internal Medicine | 1005 Bellefontaine Ave, Suite 230, Lima, OH 45804-2851 | 2009-04-29 |
| 1871746735 | Cynthia Grace Trent | Nurse Practitioner | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2008-10-23 |
| 1215109145 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 150, Lima, OH 45805 | 2008-04-01 |
| 1558542522 | Kerry Ann Stedke | Physician Assistant | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-11-19 |
| 1457565061 | Margarite Marie Angelopoulos | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2007-05-10 |
| 1285789362 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-01-25 |
| 1497806897 | Jennifer Fern Niesen | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-01-15 |
| 1669521423 | Judith E Rigoni | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| 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 |
|---|---|---|---|---|
| 1750758959 | Sharon M Steele | Nurse Practitioner | 528 W Market St Ste 200a, Lima, OH 45801-4762 | 2015-08-24 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1952912644 | Ohio Care Services, LLC | Nurse Practitioner | 1650 Allentown Rd, Lima, OH 45805-1802 | 2020-08-14 |
| 1205457595 | Kimberly A Lee | Nurse Practitioner | 2740 W Market St, Lima, OH 45805-2120 | 2020-04-28 |
| 1922648658 | Natalie Wiegers | Nurse Practitioner | 730 W Market St, Lima, OH 45801-4602 | 2020-01-10 |
| 1831742576 | Rebecca Lynn Frank | Nurse Practitioner | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2019-07-22 |
| 1679031678 | Lima Memorial Professional Corporation | Nurse Practitioner | 375 N Eastown Rd Ste C, Lima, OH 45807-2209 | 2019-03-08 |
| 1548724602 | Paige L. Leopold | Nurse Practitioner | 770 W High St Ste 160, Lima, OH 45801-5900 | 2019-01-23 |
| 1467943993 | Tabatha Ann Perreault | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804 | 2018-05-21 |
| 1376046227 | Brian M Heitmeyer | Nurse Practitioner | 770 W High St Ste 350, Lima, OH 45801 | 2018-03-16 |
| Find all providers in LIMA | ||||
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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.