Jerrilyn S. Brehm, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000005790 Issued in TN

Practice address

365 Stout Drive, Suite 160
Johnson City, TN 37614-7114

Phone

(423) 439-4225

Fax

(423) 439-4560

NPI assigned

Oct 2, 2005

Last updated

May 4, 2017By 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)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Tennessee State University

  dba Johnson City Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Johnson City, TN
  • NPI 1477660199
  NPD (past)

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1598752891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 STOUT DRIVE, BOX 70403",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376141703",
            "telephone_number": "423-439-4515",
            "fax_number": "423-439-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 STOUT DRIVE, SUITE 160",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376147114",
            "telephone_number": "423-439-4225",
            "fax_number": "423-439-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREHM",
        "first_name": "JERRILYN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000005790",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheree A Bray, M.D., FACS
• Anna Brazell
• Breakthrough Medical Clinic of Tennessee Inc
• Breakthrough Medical, Inc
• Amanda N Breeden, RD, LD
• Elisabeth Cydnie Bedford Brenner, MD
• Erin R Brewer Ross, PA
• Laura Marie Brewer, FNP
• Lindsay Jane Brewer, LCSW
• Meridith Ann Brewer, MA

• Family Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.