JENNIFER LYNN BROMELAND (NPI# 1821321662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821321662 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN BROMELAND |
| Credential | APN |
| Practice Address |
2040 Ogden Ave Ste 304 Aurora IL 60504-7205 |
| Practice Telephone | 6308983727 |
| Practice Fax Number | 6304992430 |
| Mailing Telephone | 6308983727 |
| Mailing Fax Number | 6304992430 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209007766 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 209-007766 | 05 |
| Street Address |
2040 OGDEN AVE STE 304 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919737 | Daniel Katz | Surgery | 2040 Ogden Ave Ste 304, Aurora, IL 60504 | 2005-08-12 |
| 1427043017 | Michael W Frank | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2040 Ogden Ave Ste 304, Aurora, IL 60504-7205 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955866 | Kyla Araujo | Nurse Practitioner | 3888 S Quatar St, Aurora, CO 80018-3158 | 2019-07-29 |
| 1679090526 | Melissa Jean Boehner | Nurse Practitioner | 1665 Aurora Ct Fl 2, Aurora, CO 80045-2517 | 2017-08-22 |
| 1780100891 | Sofia Goli | Nurse Practitioner | 18525 E Smoky Hill Rd Ste C, Aurora, CO 80015-3109 | 2017-08-21 |
| 1265890172 | Sarah L Scott | Nurse Practitioner | 13123 E 16th Ave # B615, Aurora, CO 80045-7106 | 2016-02-05 |
| 1134551062 | Advanced Practice Clinical Medicine Group | Nurse Practitioner | 18680 E Powers Dr, Aurora, CO 80015-5125 | 2013-08-01 |
| 1912240078 | Elizabeth Claire Threet | Nurse Practitioner | 13123 E 16th Ave # 100, Aurora, CO 80045-7106 | 2013-03-27 |
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1366049116 | Laurie Lahr | Nurse Practitioner | 12401 E 17th Ave, Aurora, CO 80045-2548 | 2020-10-05 |
| 1780200907 | Amanda Marie Miller-sarmento | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-23 |
| 1982220349 | Rocco James Miele | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-22 |
| Find all providers in AURORA | ||||
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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.