Active NPI
Brennan Cassidy Philbin
- Neonatal Nurse Practitioner
- Orlando, FL
National Provider Identifier
1477304202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 11032072
- Practice address
- 83 W Miller St
Orlando, FL 32806-2031 - Phone
- (321) 843-9792
- NPI assigned
- Mar 29, 2024
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 11032072 | FL | Primary |
Addresses
Primary practice location
83 W Miller St
Orlando, FL 32806-2031
Mailing address
10060 Vista Laguna Dr Apt 303
Orlando, FL 32825-6189
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11032072 | FL | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1477304202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10060 VISTA LAGUNA DR APT 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328256189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062031",
"telephone_number": "321-843-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILBIN",
"first_name": "BRENNAN",
"middle_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "11032072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.