Active NPI
Brenda Scherlis, NP
- Family Nurse Practitioner
- Idyllwild, CA
National Provider Identifier
1447401781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6313
- Practice address
- 54910 Pine Crest Ave
Idyllwild, CA 92549-1371 - Phone
- (951) 659-9912
- Fax
- (951) 468-4202
- NPI assigned
- Oct 6, 2008
- Last updated
- May 24, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6313 | CA | Primary |
Addresses
Primary practice location
54910 Pine Crest Ave
Idyllwild, CA 92549-1371
Mailing address
PO Box 1371
54910 Pine Crest Ave
Idyllwild, CA 92549-1371
Phone (951) 659-9912
Other names 1
- Brenda Ahlstedt
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6313 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth C Browning, D.O., a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Riverside, CA
- NPI 1215216049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1447401781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1371",
"address_2": "54910 PINE CREST AVE",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "925491371",
"telephone_number": "951-659-9912",
"fax_number": "951-468-4202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54910 PINE CREST AVE",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "925491371",
"telephone_number": "951-659-9912",
"fax_number": "951-468-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERLIS",
"first_name": "BRENDA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-06",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "6313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "AHLSTEDT",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Idyllwild, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.