Cornerstone Pediatrics LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

DO172490 Issued in OR

Legal business name

CORNERSTONE PEDIATRICS LLC

Practice address

955 SE 4TH St Ste B
Hermiston, OR 97838-2666

Phone

(817) 733-4691

NPI assigned

Jan 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Michelle Brennan, DO

Title

Business Owner, Pediatrician

Phone

(817) 733-4691

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1154867398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 SE 4TH ST STE B",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382666",
            "telephone_number": "817-733-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 SE 4TH ST STE B",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382666",
            "telephone_number": "817-733-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS OWNER, PEDIATRICIAN",
        "authorized_official_telephone_number": "817-733-4691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "DO172490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500689937",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia River Medical Transport
• Community Counseling Solutions
• Caitlin Cook, PT DPT
• Jennifer K Cooper, PSY.D.
• Eduardo Rojas Cornejo, CADC
• Linda Joan Cornwell, FNP-C
• County of Umatilla School District 8-R
• John Joseph Criswell, PHARMD
• Jerry Dean Crum, M.D.
• Deepshikha Datta, MD

• All providers in Hermiston, OR
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.