Active NPI
Brenda Lee Brewster, O.T.
- Pediatric Occupational Therapist
- Asheville, NC
National Provider Identifier
1598880304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5712
- Practice address
- 852 Merrimon Ave
Asheville, NC 28804-2405 - Phone
- (828) 251-6091
- Fax
- (828) 251-6911
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5712 | NC | Primary |
Addresses
Primary practice location
852 Merrimon Ave
Asheville, NC 28804-2405
Mailing address
16 Gallimore Rd
Brevard, NC 28712-9591
Phone (828) 251-6091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1398E | Other | NC | BCBS INDIVIDUAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5712 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Nashville Public Schools | Past | Accepting new patients | |
| NC DHHS Child and Family Well-Being | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Asheville, NC
- NPI 1942424387
-
- Local Education Agency (LEA)
- Nashville, TN
- NPI 1689093437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598880304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GALLIMORE RD",
"city": "BREVARD",
"state": "NC",
"postal_code": "287129591",
"telephone_number": "828-251-6091",
"fax_number": "828-251-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 MERRIMON AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288042405",
"telephone_number": "828-251-6091",
"fax_number": "828-251-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "5712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL NUMBER",
"identifier": "1398E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.