Krista Brennan

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

0804063488 Issued in NV

Practice address

3416 Goni Rd Ste D-132
Carson City, NV 89706-8008

Phone

(775) 687-4210

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1154868792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 THOMAS CREEK RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118683",
            "telephone_number": "775-683-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 GONI RD STE D-132",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897068008",
            "telephone_number": "775-687-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "KRISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NV",
            "license": "0804063488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Partners LP
• Kerry Brady
• Travis Benjamin Brantmeyer, PRSS-INT
• William P Bray Jr., DC
• James Thomas Breeden, M.D.
• Sherry Brennan, CPC-I
• Alexis Brennecke
• Shannon Renee Brewer, D.D.S.
• Ramona Rose Bringman
• Melissa Brinks, LCSW

• Early Intervention Provider Agency in Carson City, NV
• Providers in Carson City, NV by specialty
• Early Intervention Provider Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.