Brenda Bishop Azar, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPP33078 Issued in RI

Practice address

2 College St
Providence, RI 02903-2717

Phone

(401) 454-6625

Fax

(401) 454-6628

NPI assigned

Jan 12, 2006

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1245219898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EVANS AVE",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784327",
            "telephone_number": "401-439-0915",
            "fax_number": "401-816-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLLEGE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032717",
            "telephone_number": "401-454-6625",
            "fax_number": "401-454-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "BRENDA",
        "middle_name": "BISHOP",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP33078",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN161430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408307",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "23312-5",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Kenameh-Nteinmusi Ayuninjam, PHARMD, MPH
• Jacqueline Ayuso, RN
• Joann Ayuso
• Abdullah Ayyoub
• Nader N Azab, MD
• Anait Azarian, PH.D.
• Ijeoma A Azodo, M.D.
• Caitlin Kimball Azzo, MD
• B Allen Flaxman MD Inc
• B-X Providence LLC (Capitol Ridge at Providence)

• Family Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.