Brenda O. Dimauro, C.P.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

P00691 Issued in AR

Practice address

2100 N Green Acres Rd
Suite a
Fayetteville, AR 72703-2807

Phone

(479) 521-3363

Fax

(479) 521-4167

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

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 and National Provider Directory roles.

• ENT and Allergy Center, PA

  • Specialist
  • Fayetteville, AR
  • NPI 1881690238
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1497704365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N GREEN ACRES RD",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032807",
            "telephone_number": "479-521-3363",
            "fax_number": "479-521-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N GREEN ACRES RD",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032807",
            "telephone_number": "479-521-3363",
            "fax_number": "479-521-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAURO",
        "first_name": "BRENDA",
        "middle_name": "O.",
        "name_prefix": "Prof.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "P00691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Dilday, M.D.
• Clarence W. Dill III, DDS
• Nicole Dill, LPC
• Barbara Dillon, LPC
• Peyten Dillon, DC
• Alyssa Rachel Dimitrov, DPT
• Timothy Dinger, LPC
• Elli Dinkmeyer
• Jessica Lauren Dinwiddie, O.D.
• J. Kathryn F. Dionne, M.S., CCC/A

• Nurse Practitioner in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.