Dana Marie Brasher, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041252385 Issued in IL

Practice address

5084 Granite St
Loves Park, IL 61111-3324

Phone

(779) 348-9388

Fax

(815) 282-2034

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1194077313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 GRANITE ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611113324",
            "telephone_number": "779-348-9388",
            "fax_number": "815-282-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 GRANITE ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611113324",
            "telephone_number": "779-348-9388",
            "fax_number": "815-282-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHER",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041252385",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "15031630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Tiva Bounthong, LCSW
• Daniel S Bradt, DC
• Rita K. Bramley, RN
• Eugene E. Brander, DDS, PC
• Stanislav Brandis, M.D.
• Jennifer Bravo, P.T.
• Julius Bravo, DPT
• Breault Physical Therapy PC
• Mary Ann Breault, LPT
• Lisa A. Breisch, PSY.D.

• Registered Nurse in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.