Individual provider Active NPI

Lynda Jaye Bren, B.S. R.N.

  • Registered Nurse
  • Walla Walla, WA
National Provider Identifier
1609113059
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00155715 Issued in WA
Practice address
471 Yellowhawk St
Walla Walla, WA 99362-7727
Phone
(509) 522-0717
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00155715 WA Primary

Addresses

Primary practice location

471 Yellowhawk St
Walla Walla, WA 99362-7727

Mailing address

471 Yellowhawk St
Walla Walla, WA 99362-7727
Phone (509) 522-0717

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
Credentials
Bachelor of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00155715WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1609113059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 YELLOWHAWK ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993627727",
            "telephone_number": "509-522-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 YELLOWHAWK ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993627727",
            "telephone_number": "509-522-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREN",
        "first_name": "LYNDA",
        "middle_name": "JAYE",
        "credential": "B.S. R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00155715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.