Serena Brewer, ARPN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1016688 Issued in OK

Practice address

6888 E 133 Rd
Holdenville, OK 74848-9020

Phone

(405) 379-6400

NPI assigned

Nov 12, 2016

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1558803205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 E W 133 RD",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "74848",
            "telephone_number": "405-379-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 E 133 RD",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748489020",
            "telephone_number": "405-379-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SERENA",
        "credential": "ARPN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-12",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OK",
            "license": "0057585",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F1016688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abc Medical Clinic of Holdenville, LLC
• Acute Care Billing Ok LLC
• Natalie Akins
• Laura Arthur, DC
• Tami Dawn Barrett, APRN
• Robert Keith Brisolara, D.D.S.
• Shelley Byrd
• Canadian Valley Vision Center, PC
• Tina Cartwright
• Central Oklahoma Family Medical Center Inc

• Family Nurse Practitioner in Holdenville, OK
• Providers in Holdenville, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.