Individual provider Active NPI

Brenda Schell, FNP-C

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1639565062
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA16773 Issued in OH
Practice address
7067 Tiffany Blvd Ste 150
Youngstown, OH 44514-1981
Phone
(330) 805-1760
Fax
(888) 828-2253
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA16773 OH Primary

Addresses

Primary practice location

7067 Tiffany Blvd Ste 150
Youngstown, OH 44514-1981

Mailing address

783 Presidential Dr
Boardman, OH 44512-5714
Phone (330) 770-5083

Other practice location 1

783 Presidential Dr
Boardman, OH 44512-5714
Phone (330) 770-5083

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA16773OHMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: brenda.schell@620407976427524.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1639565062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 PRESIDENTIAL DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125714",
            "telephone_number": "330-770-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD STE 150",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141981",
            "telephone_number": "330-805-1760",
            "fax_number": "888-828-2253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "783 Presidential Dr",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445125714",
            "country_code": "US",
            "telephone_number": "330-770-5083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHELL",
        "first_name": "BRENDA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA16773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.