Active NPI
Patrisha A Brewer
- Licensed Practical Nurse
- Miamisburg, OH
National Provider Identifier
1285809780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN.077844
- Practice address
- 6206 Cedar LN
Miamisburg, OH 45342-5179 - Phone
- (937) 743-9162
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.077844 | OH | Primary |
Addresses
Primary practice location
6206 Cedar LN
Miamisburg, OH 45342-5179
Mailing address
6206 Cedar LN
Miamisburg, OH 45342-5179
Phone (937) 743-9162
Other names 1
- Mrs. Patrisha A Brewer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.077844 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1285809780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 CEDAR LN",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453425179",
"telephone_number": "937-743-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6206 CEDAR LN",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453425179",
"telephone_number": "937-743-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "PATRISHA",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.077844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRISHA",
"last_name": "BREWER",
"middle_name": "A",
"prefix": "MRS.",
"credential": "LPN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.