Individual provider Active NPI

Brenda Kyomugisha Wasake

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampshire, IL
National Provider Identifier
1295643492
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2026077035 Issued in IL
Practice address
207 Terrabrook Way
Hampshire, IL 60140-1205
Phone
(651) 332-9694
NPI assigned
Aug 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2026077035 IL Primary

Addresses

Primary practice location

207 Terrabrook Way
Hampshire, IL 60140-1205

Mailing address

207 Terrabrook Way
Hampshire, IL 60140-1205
Phone (651) 332-9694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1295643492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TERRABROOK WAY",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601401205",
            "telephone_number": "651-332-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TERRABROOK WAY",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601401205",
            "telephone_number": "651-332-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYOMUGISHA WASAKE",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "2026077035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.