Lisa Brenneman, R.N.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

95108134 Issued in CA

Practice address

2365 Via Siena
La Jolla, CA 92037-3933

Phone

(858) 761-6141

NPI assigned

Nov 2, 2016

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

Other identifiers 1

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": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1265984686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 VIA SIENA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373933",
            "telephone_number": "858-761-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 VIA SIENA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373933",
            "telephone_number": "858-761-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "LISA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95108134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "95108134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Braun, PH.D.
• Javier Bravo, MD
• Marcus U Brazel, ACNP
• Brenda Breidenstein, MD
• Angela Marie Brengle
• Scot A Brewster, MD
• Dalia Breziner, MD, MBA
• Jaime J Breziner, DDS
• Yael Breziner, DDS
• Brian H. Graham MD Inc

• Adult Psychiatric/Mental Health Registered Nurse in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.