Active NPI
Brianna Fleeman
- Nurse Practitioner
- Coeur D Alene, ID
National Provider Identifier
1124882451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 65017
- Practice address
- 850 W Ironwood Dr Ste 102
Coeur D Alene, ID 83814-4903 - Phone
- (208) 966-4376
- NPI assigned
- Feb 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 65017 | ID | Primary |
Addresses
Primary practice location
850 W Ironwood Dr Ste 102
Coeur D Alene, ID 83814-4903
Mailing address
850 W Ironwood Dr Ste 102
Coeur D Alene, ID 83814-4903
Phone (208) 966-4376
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65017 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesnut MD | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1124882451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W IRONWOOD DR STE 102",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144903",
"telephone_number": "208-966-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W IRONWOOD DR STE 102",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144903",
"telephone_number": "208-966-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEEMAN",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "65017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.