Karlisa Renee Brewer-Jordan

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

Practice address

4031 E Harry St
Wichita, KS 67218-3724

Phone

(316) 771-7335

Fax

(316) 771-7201

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Karlisa Renee Brewer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1346498540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780898",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672780898",
            "telephone_number": "316-771-7335",
            "fax_number": "316-771-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183724",
            "telephone_number": "316-771-7335",
            "fax_number": "316-771-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER-JORDAN",
        "first_name": "KARLISA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLISA",
            "last_name": "BREWER",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda A Brennan, PT
• Brenneis Enterprises Co
• Jessica N Brenzikofer, OTR/L
• Mary A Breske
• Morgan Paige Bretches
• Deborah Brewer, LMSW
• Kristi Dawn Brewer, PTA
• Michael Thomas Brewer, M.S., LCMFT
• Nicholas Matthew Brewer, MD
• Susan Janene Brewer, MD

• Child Mental Illness Respite Care in Wichita, KS
• Providers in Wichita, KS by specialty
• Child Mental Illness Respite Care in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.