Individual provider Active NPI

Brenda Delois Adams, RN,MSN,CDE

  • Case Management Registered Nurse
  • Doral, FL
National Provider Identifier
1245773985
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN 9402869 Issued in FL
Practice address
9301 NW 33Rd St
Doral, FL 33172-1202
Phone
(305) 904-3130
Fax
(305) 904-3823
NPI assigned
Nov 29, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704126485 MI
Case Management Registered Nurse 163WC0400X RN 9402869 FL Primary
Diabetes Educator Registered Nurse 163WD0400X RN9402869 FL

Addresses

Primary practice location

9301 NW 33Rd St
Doral, FL 33172-1202

Mailing address

9301 NW 33Rd St
Doral, FL 33172-1202
Phone (305) 904-3130

Other identifiers 1

IdentifierTypeStateIssuer
RN 9402869OtherFLDEPARTMENT OF HEALTH

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704126485MIMDRegistered Nurse
RN 9402869FLMDCase Management Registered Nurse
RN9402869FLMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1245773985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 NW 33RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721202",
            "telephone_number": "305-904-3130",
            "fax_number": "305-904-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 NW 33RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721202",
            "telephone_number": "305-904-3130",
            "fax_number": "305-904-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BRENDA",
        "middle_name": "DELOIS",
        "credential": "RN,MSN,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704126485",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN 9402869",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "RN9402869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "RN 9402869",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.