Active NPI
Glenna Shemida Brewster, RN, FNP-BC
- Registered Nurse
- Tampa, FL
National Provider Identifier
1396095709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9269811
- Practice address
- 3429 Park SQ N
Apt 3
Tampa, FL 33613-4637 - Phone
- (954) 200-2304
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9269811 | FL | Primary |
Addresses
Primary practice location
3429 Park SQ N
Apt 3
Tampa, FL 33613-4637
Mailing address
3429 Park SQ N
Apt 3
Tampa, FL 33613-4637
Phone (954) 200-2304
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9269811 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1396095709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3429 PARK SQ N",
"address_2": "APT 3",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134637",
"telephone_number": "954-200-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3429 PARK SQ N",
"address_2": "APT 3",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134637",
"telephone_number": "954-200-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "GLENNA",
"middle_name": "SHEMIDA",
"name_prefix": "Miss",
"credential": "RN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9269811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.