Brandeis K Fennell, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2829 Issued in SC

Practice address

1203 East Cheves Street
Florence, SC 29506-2711

Phone

(843) 777-2564

Fax

(843) 777-5135

NPI assigned

Jul 12, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1528083748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-2564",
            "fax_number": "843-777-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 EAST CHEVES STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062711",
            "telephone_number": "843-777-2564",
            "fax_number": "843-777-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "BRANDEIS",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "2829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1010",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Mark Feagin, OTRL, CHT
• Lori Womack Feagin, P.T.
• Alexandr Michal Federer, PH.D.
• Sharmayne Federick
• Michele Lynn Feil
• Matthew Eliphalet Ferguson, PT, DPT
• Patricia McDonald Ferguson, CRNA
• Stephanie Nicole Ferguson, APRN
• Virginia Mary Ferguson, MD
• Kendall Ferrara

• Adult Health Nurse Practitioner in Florence, SC
• Providers in Florence, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.