Brenda Garcia, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11005065 Issued in FL

Practice address

2200 Marsh Hawk LN Unit 101
Fleming Island, FL 32003-6338

Phone

(786) 426-7972

NPI assigned

Nov 17, 2019

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Renew Wound Care of Florida LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1811631591
  Medicare reassignment NPD

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1073158747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MARSH HAWK LN UNIT 101",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036338",
            "telephone_number": "786-426-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MARSH HAWK LN UNIT 101",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036338",
            "telephone_number": "786-426-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "BRENDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Paul Fritz, DC
• Joseph Michael Frustaci, DPT
• Fulcrum High Performance, LLC
• Schkenna Yvonne Fulton-Neloms, RN
• Heather Marie Gall, APRN, FNP-BC, MSN
• Denisse Sarai Garcia
• Laura Vanessa Garcia
• Suzanne E Garman, ARNP
• William Clarence Geisert, MD
• June V Gentle, DC

• Nurse Practitioner in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; 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.

Verify at the official NPI Registry.