Individual provider Active NPI

Brenda Parejas, CMF

  • Mastectomy Fitter
  • Lakeland, FL
National Provider Identifier
1457612681
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
C52003 Issued in FL
Practice address
3526 Dovetail LN N
Lakeland, FL 33812-4123
Phone
(863) 686-6809
Fax
(863) 868-6809
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X C52003 FL Primary

Addresses

Primary practice location

3526 Dovetail LN N
Lakeland, FL 33812-4123

Mailing address

3526 Dovetail LN N
Lakeland, FL 33812-4123
Phone (863) 686-6809

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C52003FLMDMastectomy Fitter

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1457612681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 DOVETAIL LN N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124123",
            "telephone_number": "863-686-6809",
            "fax_number": "863-868-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 DOVETAIL LN N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124123",
            "telephone_number": "863-686-6809",
            "fax_number": "863-868-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREJAS",
        "first_name": "BRENDA",
        "credential": "CMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "FL",
            "license": "C52003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.