Heidi Brenner

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F001239 Issued in NY

Practice address

258 High Ave
Nyack, NY 10960-2407

Phone

(845) 353-1441

Fax

(845) 353-1987

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285702910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441",
            "fax_number": "845-353-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441",
            "fax_number": "845-353-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F001239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Boudounis-Hatzis, D.D.S.
• Naika Boutin
• Elizabeth Bracken, LMSW
• Amelia Bradley
• Jonathan Brandes, MD,CAC
• Elizabeth Ann Bretz, LCSW
• I-Yona Briggs
• David Allen Brizer, M.D.
• Eli Robert Brown, M.D.
• Janelle Brown, PH.D.

• All providers in Nyack, NY
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.