Active NPI
Dawn Brennan, N.P.
- Pediatric Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 381481
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3001 - Phone
- (585) 922-2575
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 381481 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3001
Mailing address
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-2575
Other practice location 1
1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 922-2575
Other names 1
- Dawn Fasone
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfasone25061@direct.rochesterregional.org | Direct | |
| Direct Messaging Address | dawn.brennan@rochesterregional.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients |
Locations
1455 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-4103
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
180 Ridgeway Ave
Rochester, NY 14615
Phone (585) 235-2820
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1003914722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-2575"
}
],
"practiceLocations": [
{
"address_1": "1455 E Ridge Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146212006",
"country_code": "US",
"telephone_number": "585-922-2575",
"fax_number": "585-922-5033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNAN",
"first_name": "DAWN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "381481",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfasone25061@direct.rochesterregional.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1425 Portland Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146213001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dawn.brennan@rochesterregional.org",
"affiliation": "N",
"address_1": "180 Ridgeway Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146153636",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DAWN",
"last_name": "FASONE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.