Brenda Dawn Stewart, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

101-0013323 Issued in VT

Practice address

97 Sherman Dr
NVRH St Johnsbury Pediatrics
St Johnsbury, VT 05819-9280

Phone

(802) 748-5131

Fax

(802) 748-4237

NPI assigned

Jan 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1306824958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199280",
            "telephone_number": "802-748-5131",
            "fax_number": "802-748-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 SHERMAN DR",
            "address_2": "NVRH ST JOHNSBURY PEDIATRICS",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199280",
            "telephone_number": "802-748-5131",
            "fax_number": "802-748-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRENDA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NH",
            "license": "022856-23-02",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101-0013323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009107",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072096",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Johnsbury Health and Rehabilitation Center LLC
• St. Johnsbury School District
• Elaine V Stasny, M.D.
• Nicole Stebbins, BCBA
• Stepping Stones Counseling VT LLC
• Meri Stiles, MSW LICSW PHD
• Maxwell Stinehour, PHARMD
• Richard A Stokes, HIS
• Strong Oaks Physical Therapy LLC
• Stronger Roots Counseling PLC

• Pediatric Nurse Practitioner in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Pediatric Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.