Active NPI
Brenda Dunmire, CRNP
- Adult Health Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1023502895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP018603
- Practice address
- 4815 Liberty Ave Ste 250
Pittsburgh, PA 15224 - Phone
- (412) 578-6815
- Fax
- (412) 578-4299
- NPI assigned
- Jun 15, 2018
- Last updated
- Jun 18, 2018
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP018603 | PA | Primary |
Addresses
Primary practice location
4815 Liberty Ave Ste 250
Pittsburgh, PA 15224
Mailing address
7058 Leechburg Rd
New Kensington, PA 15068-8308
Phone (724) 448-7886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14273761 | Other | PA | CAQH |
| PENDING | Medicaid | PA |
Other names 1
- Brenda Rutkoski Dunmire
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1023502895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7058 LEECHBURG RD",
"city": "NEW KENSINGTON",
"state": "PA",
"postal_code": "150688308",
"telephone_number": "724-448-7886",
"fax_number": "724-334-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE 250",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15224",
"telephone_number": "412-578-6815",
"fax_number": "412-578-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNMIRE",
"first_name": "BRENDA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP018603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14273761",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "DUNMIRE",
"middle_name": "RUTKOSKI",
"credential": "CRNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.