Sharon Jean Brellis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9224867 Issued in FL

Practice address

12066 NW 27TH St
Coral Springs, FL 33065-3268

Phone

(954) 610-3716

NPI assigned

Jan 14, 2021

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Sharon Jean Brellis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1417546474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12066 NW 27TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653268",
            "telephone_number": "954-610-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12066 NW 27TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653268",
            "telephone_number": "954-610-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELLIS",
        "first_name": "SHARON",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9224867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BRELLIS",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Nurse in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.