Individual provider Active NPI

Brenda Lee Drimmel, R.N.

  • Registered Nurse
  • New Hope, MN
National Provider Identifier
1356591564
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R129579-1 Issued in MN
Practice address
4124 Quebec Ave N Ste 305
New Hope, MN 55427-1241
Phone
(763) 533-1919
Fax
(763) 533-1607
NPI assigned
Sep 24, 2008
Last updated
Sep 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R129579-1 MN Primary

Addresses

Primary practice location

4124 Quebec Ave N Ste 305
New Hope, MN 55427-1241

Mailing address

12325 4TH CT NE
Blaine, MN 55434-1989
Phone (612) 701-2284

Other identifiers 1

IdentifierTypeStateIssuer
A486245700MedicaidMN

Other names 1

  • Mrs. Brenda Lee Steady Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R129579-1MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1356591564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 4TH CT NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341989",
            "telephone_number": "612-701-2284",
            "fax_number": "763-533-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 305",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271241",
            "telephone_number": "763-533-1919",
            "fax_number": "763-533-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIMMEL",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R129579-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A486245700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "STEADY",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.