Active NPI
Tamra Lee Brennan, NPC
- Nurse Practitioner
- Lowell, MA
National Provider Identifier
1366819435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2272981
- Practice address
- 2 Hospital Dr
Pain Management Center
Lowell, MA 01852-1311 - Phone
- (978) 937-6460
- NPI assigned
- Aug 25, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2272981 | MA | Primary |
Addresses
Primary practice location
2 Hospital Dr
Pain Management Center
Lowell, MA 01852-1311
Mailing address
2 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 937-6460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160323001931 | MA | Order and Referring Only - Nurse Practitioner | 2961709654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1366819435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HOSPITAL DR",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521311",
"telephone_number": "978-937-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HOSPITAL DR",
"address_2": "PAIN MANAGEMENT CENTER",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521311",
"telephone_number": "978-937-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "TAMRA",
"middle_name": "LEE",
"credential": "NPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2272981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.