Brenda Harris, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2019007080 Issued in MO

Practice address

850 Country Manor LN
Creve Coeur, MO 63141-6651

Phone

(314) 434-5900

NPI assigned

Jun 3, 2019

Last updated

Apr 19, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Provident IncGroup PAC ID 0345217279, 19 clinicians

Unity Hospice GSL LLCGroup PAC ID 6406037274, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Provident Inc.

  dba Provident Behavioral Health

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1710023791
  Medicare reassignment Care Compare group NPD
• Unity Hospice GSL, LLC

  • Community Based Hospice Care Agency
  • Saint Louis, MO
  • NPI 1114220043
  Medicare reassignment Care Compare group
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment
• Unity Hospice of Greater St Louis LLC

  • Community Based Hospice Care Agency
  • Collinsville, IL
  • NPI 1245319367
  Medicare reassignment
• Provident Inc

  dba Provident Behavioral Health

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1043491020
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1619535986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COUNTRY MANOR LN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416651",
            "telephone_number": "314-434-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COUNTRY MANOR LN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416651",
            "telephone_number": "314-434-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Olive St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631031489",
            "country_code": "US",
            "telephone_number": "314-802-2647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRENDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019007080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Hanegan, D.C.
• Ashley Marie Hardesty, FNP
• Rachel Hari-Singh, PA-C
• Emily Harrington, DPT
• Benjamin Harris, DO
• Harry C Eggleston MD PC II (eagle eye care)
• Denis William Hartley Jr., D.C.
• Miles W Hartman, PMHNP
• Britney Jasa Hartog, BCABA
• Terry Hasenzahl, LMFT

• Nurse Practitioner in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.