Individual provider Active NPI

Sharon Brennan, FNP

  • Family Nurse Practitioner
  • Troutdale, OR
National Provider Identifier
1104072057
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201250061 Issued in OR
Practice address
2800 SW 257TH Avenue
Columbia View Family Health Center
Troutdale, OR 97060
Phone
(503) 667-7711
Fax
(503) 669-8328
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00049600 NJ
Family Nurse Practitioner 363LF0000X 201250061 OR Primary

Addresses

Primary practice location

2800 SW 257TH Avenue
Columbia View Family Health Center
Troutdale, OR 97060

Mailing address

2800 SW 257TH Avenue
Columbia View Family Health Center
Troutdale, OR 97060
Phone (503) 667-7711

Other names 1

  • Sharon Levin Former name

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

State licenses

LicenseStateTypeSpecialty
26NJ00049600NJMDFamily Nurse Practitioner
201250061ORMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1104072057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW 257TH AVENUE",
            "address_2": "COLUMBIA VIEW FAMILY HEALTH CENTER",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "97060",
            "telephone_number": "503-667-7711",
            "fax_number": "503-669-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SW 257TH AVENUE",
            "address_2": "COLUMBIA VIEW FAMILY HEALTH CENTER",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "97060",
            "telephone_number": "503-667-7711",
            "fax_number": "503-669-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "SHARON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00049600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201250061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "LEVIN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troutdale, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.