Brenda Jean Deroo, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A057101 Issued in IA

Practice address

300 Sioux Valley Dr
Cherokee, IA 51012-1205

Phone

(712) 225-6441

Fax

(712) 225-3333

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sioux Valley Memorial Hospital Association

  • Family Medicine Physician
  • Aurelia, IA
  • NPI 1083610190
  NPD
• Sioux Valley Memorial Hospital Association

  • Certified Registered Nurse Anesthetist
  • Cherokee, IA
  • NPI 1275500704
  NPD
• Patricia J Harrison M D P C

  • Family Medicine Physician
  • Cherokee, IA
  • NPI 1215040258
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1447220355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CENTENNIAL DR",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "51012",
            "telephone_number": "712-225-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIOUX VALLEY DR",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121205",
            "telephone_number": "712-225-6441",
            "fax_number": "712-225-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROO",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "000731",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A057101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010652",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Connor, PTA
• Edwin N Cook, D.O.
• County of Cherokee
• Benjamin R Cox, C.R.N.A.
• Jamie Kay Werner Crum, FNP-BC, CDCES
• Benjamin John Deubner, D.P.T.
• Bradley R Dirks, PAC
• Julie Lynn Dolphin
• Lisa M. Ducommun, CNP
• Jane Ebert

• Family Nurse Practitioner in Cherokee, IA
• Providers in Cherokee, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.