Joanne Brennan, RN, CPN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

291864-1 Issued in NY

Practice address

104 Wohseepee Dr
Brightwaters, NY 11718-1816

Phone

(631) 666-9029

NPI assigned

Jan 2, 2008

Last updated

Jan 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1649455155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOHSEEPEE DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181816",
            "telephone_number": "631-666-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WOHSEEPEE DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181816",
            "telephone_number": "631-666-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, CPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "291864-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Arikian
• Robert James Balzarano, LCSW
• Angela Lauria Baumann, D.O.
• Brianna Lee Blaskey, PA-C
• Julia Dlhopolsky Block, MD
• Bright Bay Physical Therapy P.C.
• Bright Water Medical Procedure Suite, PLLC
• Andrew Burton
• Paul Cain, D.D.S.
• Care First Anesthesia Professionals, PLLC

• Pediatric Registered Nurse in Brightwaters, NY
• Providers in Brightwaters, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.