Carmen E Brewer, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

299046 Issued in NY

Practice address

60 Townhouse Road North
Huntington Station, NY 11746-1237

Phone

(631) 923-0117

NPI assigned

Dec 16, 2009

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1164751483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TOWNHOUSE RD N",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461237",
            "telephone_number": "631-923-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TOWNHOUSE ROAD NORTH",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461237",
            "telephone_number": "631-923-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "CARMEN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna M Bouchard, OTD
• Deborah J Bousqet, M.S. OF ED
• Maria Boutouzov, MS IN SPECIAL ED.
• Paul Brandt, C.O.
• Leslie Bredes, AGPCNP
• Brian K Berliner O D P C
• Brocade Health, Inc
• Brooke Leslie Bronson, M.S., SLP
• Denise Brown, SLP
• Jill-Marie Brown, NP

• Licensed Practical Nurse in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.