Mary Jayne Brennan, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

762192 Issued in FL

Practice address

13475 Southern Blvd Ste 202
Loxahatchee Groves, FL 33470-9233

Phone

(561) 798-2468

Fax

(561) 798-2733

NPI assigned

Aug 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17796/brand/1/csg/1/fhir/r4

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.

• Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • Loxahatchee Groves, FL
  • NPI 1346209244
  NPD
• Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • Loxahatchee Groves, FL
  • NPI 1629259072
  NPD

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1164424628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD STE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093506",
            "telephone_number": "561-509-5009",
            "fax_number": "561-738-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13475 SOUTHERN BLVD STE 202",
            "city": "LOXAHATCHEE GROVES",
            "state": "FL",
            "postal_code": "334709233",
            "telephone_number": "561-798-2468",
            "fax_number": "561-798-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MARY",
        "middle_name": "JAYNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-11-07",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "762192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303556500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mildred Alexandra Castro, PA-C
• Clear Medicine, Inc
• Shannon J Fox-Levine, MD
• Groves Dental Care P.a.
• Holistik Therapy LLC

• Pediatric Nurse Practitioner in Loxahatchee Groves, FL
• Providers in Loxahatchee Groves, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.