Active NPI
Sharon Brennan, FNP
- Family Nurse Practitioner
- Troutdale, OR
National Provider Identifier
1104072057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201250061
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00049600 | NJ | MD | Family Nurse Practitioner |
| 201250061 | OR | MD | Family 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.