Deanna Brumbaugh, CPHT, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041368945 Issued in IL

Practice address

2014 1St Street a
Moline, IL 61265-7728

Phone

(309) 797-9320

Fax

(309) 797-0199

NPI assigned

Jan 31, 2006

Last updated

Jan 25, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
  • NPI 1013786706
  NPD (past)
• American Drug Stores LLC

  dba Osco Drug #0122

  • Community/Retail Pharmacy
  • Moline, IL
  • NPI 1962458596
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1487625968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 27TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015229",
            "telephone_number": "309-912-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 1ST STREET A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657728",
            "telephone_number": "309-797-9320",
            "fax_number": "309-797-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "CPHT, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041368945",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "IL",
            "license": "049-129846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kristine Brown, LCPC
• Cara R Brown, APRN
• Julie Irene Brown, M.D.
• Larry D Brown, CRNA
• Lauren Emily Brown, PA-C
• Heather Bruss, FNP-C
• Brian D Buckrop, DPM
• Becki Buescher, DC
• Carissa A Bull, PHARM.D.
• David G Bunker, M.D.

• Registered Nurse in Moline, IL
• Providers in Moline, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.