Individual provider Active NPI

Jennifer Lynn Brewster, RN, FNP

  • Family Nurse Practitioner
  • Mission, TX
National Provider Identifier
1114258241
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
666483 Issued in TX
Practice address
2518 E Griffin Pkwy
Ste B
Mission, TX 78572-3348
Phone
(956) 584-9000
Fax
(956) 584-9001
NPI assigned
Jan 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 666483 TX Primary

Addresses

Primary practice location

2518 E Griffin Pkwy
Ste B
Mission, TX 78572-3348

Mailing address

2518 E Griffin Pkwy
Ste B
Mission, TX 78572-3348
Phone (956) 584-9000

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
666483TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Enhancing Nutrition Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1114258241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 E GRIFFIN PKWY",
            "address_2": "STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723348",
            "telephone_number": "956-584-9000",
            "fax_number": "956-584-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 E GRIFFIN PKWY",
            "address_2": "STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723348",
            "telephone_number": "956-584-9000",
            "fax_number": "956-584-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "666483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.