Active NPI
Diane Elizabeth Brewer, R.N.P
- General Practice Registered Nurse
- Paragould, AR
National Provider Identifier
1184870313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- R13386
- Practice address
- 1 Medical Dr
Suite 100
Paragould, AR 72450-4017 - Phone
- (870) 239-8503
- Fax
- (870) 236-1947
- NPI assigned
- Aug 7, 2008
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | R13386 | AR | Primary |
Addresses
Primary practice location
1 Medical Dr
Suite 100
Paragould, AR 72450-4017
Mailing address
1 Medical Dr
Suite 100
Paragould, AR 72450-4017
Phone (870) 239-8503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770246558 | Other | AR | BREASTCARE PROGRAM |
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 |
|---|---|---|---|
| R13386 | AR | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1184870313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL DR",
"address_2": "SUITE 100",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504017",
"telephone_number": "870-239-8503",
"fax_number": "870-236-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL DR",
"address_2": "SUITE 100",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504017",
"telephone_number": "870-239-8503",
"fax_number": "870-236-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "R.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "AR",
"license": "R13386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BREASTCARE PROGRAM",
"identifier": "770246558",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.