Active NPI
Brenda J Allen, RNCNP
- Women's Health Nurse Practitioner
- San Diego, CA
National Provider Identifier
1295941623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 341015
- Practice address
- 4474 El Cajon Blvd
San Diego, CA 92115-4312 - Phone
- (619) 283-6281
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 341015 | CA | Primary |
Addresses
Primary practice location
4474 El Cajon Blvd
San Diego, CA 92115-4312
Mailing address
8552 Golden Ridge Rd
Lakeside, CA 92040-5632
Phone (619) 561-2506
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4213 | CA | MD | Speech-Language Assistant |
| 341015 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295941623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8552 GOLDEN RIDGE RD",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920405632",
"telephone_number": "619-561-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4474 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154312",
"telephone_number": "619-283-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BRENDA",
"middle_name": "J",
"credential": "RNCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "341015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- 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.