Individual provider Active NPI

Brenda Bernier Matte, LPN

  • Licensed Practical Nurse
  • Hudson, NH
National Provider Identifier
1124270772
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
60806 Issued in MA
Practice address
12 Riverside Ave
Hudson, NH 03051-4537
Phone
(603) 845-8352
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 60806 MA Primary
Licensed Practical Nurse 164W00000X 012602-22 NH

Addresses

Primary practice location

12 Riverside Ave
Hudson, NH 03051-4537

Mailing address

12 Riverside Ave
Hudson, NH 03051-4537
Phone (603) 845-8352

Other names 1

  • Brenda Bernier 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60806MAMDLicensed Practical Nurse
012602-22NHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1124270772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RIVERSIDE AVE",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514537",
            "telephone_number": "603-845-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RIVERSIDE AVE",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514537",
            "telephone_number": "603-845-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNIER MATTE",
        "first_name": "BRENDA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "60806",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NH",
            "license": "012602-22",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BERNIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudson, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.