Active NPI
Brenda Renee Haussermann, APRN
- Family Nurse Practitioner
- Grand Island, NE
National Provider Identifier
1477986388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111571
- Practice address
- 720 N Webb Rd
Grand Island, NE 68803-3310 - Phone
- (308) 395-7700
- Fax
- (308) 395-7713
- NPI assigned
- Aug 14, 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 | 111571 | NE | Primary |
Addresses
Primary practice location
720 N Webb Rd
Grand Island, NE 68803-3310
Mailing address
1313 N Cheyenne St
PO Box 626
Benkelman, NE 69021-3074
Phone (308) 423-2204
Other practice location 1
750 Allen Dr
Grand Island, NE 68803-3328
Phone (308) 384-2500
Other practice location 2
3203 Osborne Dr W Ste 101
Hastings, NE 68901-9140
Phone (402) 834-1005
Other practice location 3
1313 N Cheyenne St
Benkelman, NE 69021-3074
Phone (308) 423-2204
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
Interoperability endpoints
- brenda.haussermann@nehiidirectmail.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1477986388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 N CHEYENNE ST",
"address_2": "PO BOX 626",
"city": "BENKELMAN",
"state": "NE",
"postal_code": "690213074",
"telephone_number": "308-423-2204",
"fax_number": "308-423-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N WEBB RD",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033310",
"telephone_number": "308-395-7700",
"fax_number": "308-395-7713"
}
],
"practiceLocations": [
{
"address_1": "750 Allen Dr",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688033328",
"country_code": "US",
"telephone_number": "308-384-2500",
"fax_number": "308-384-2565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3203 Osborne Dr W Ste 101",
"address_purpose": "LOCATION",
"city": "Hastings",
"state": "NE",
"postal_code": "689019140",
"country_code": "US",
"telephone_number": "402-834-1005",
"fax_number": "402-834-1005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1313 N Cheyenne St",
"address_purpose": "LOCATION",
"city": "Benkelman",
"state": "NE",
"postal_code": "690213074",
"country_code": "US",
"telephone_number": "308-423-2204",
"fax_number": "308-423-5691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUSSERMANN",
"first_name": "BRENDA",
"middle_name": "RENEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.