Lisa Brendle, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

21595 Issued in AK

Practice address

222 Tongass Dr
Sitka, AK 99835-9416

Phone

(907) 523-5962

Fax

(888) 789-8047

NPI assigned

Apr 17, 2009

Last updated

May 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Juneau Spine and Pain Center LLC

  dba Southeast Alaska Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Juneau, AK
  • NPI 1821327560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1033352273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HOSPITAL DR",
            "address_2": "SUITE100",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017829",
            "telephone_number": "907-523-5962",
            "fax_number": "888-789-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TONGASS DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359416",
            "telephone_number": "907-523-5962",
            "fax_number": "888-789-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDLE",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "21595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenelle L Bragg, MSW
• Kathleen A Branch-Gadd, BS, CDCS
• Alison Brazel, MSW
• Anna Gabrielle Brecheisen, PHARMD
• Rebecca Bredahl, RN
• Christopher Michael Brenk
• Cecilia Brenner, RN
• Cara Lyn Brenton
• Michael Daniel Bricker
• Valerie L. Bright, L.P.N.

• Registered Nurse in Sitka, AK
• Providers in Sitka, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.