Brittany Fennell

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

122300000 Issued in FL

Practice address

13201 New Berlin Rd
Jacksonville, FL 32226

Phone

(909) 047-5375

NPI assigned

Feb 6, 2019

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

State licenses

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1518422294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 STARRATT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322261330",
            "telephone_number": "903-530-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 NEW BERLIN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32226",
            "telephone_number": "909-047-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "122300000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Felicia Felton
• Austin Felver, OD
• Meghan Marie Fencer, LMHC
• Cammi Fendler
• Allison Nicole Fendley, LMHC
• Sondra A Fennell, ARNP
• Jessica Lynn Fenouil
• Elise Fenstermaker, RD
• Kindalem Fekade Fentie, MD
• Douglas Fenton, MD

• Public Health Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.