Renata Susan Brill, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303274-1 Issued in NY

Practice address

14176 Blackberry Dr
Wellington, FL 33414

Phone

(917) 376-3950

NPI assigned

Jul 19, 2007

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Comrehensive Health & Wellness at Home Inc

  • Family Nurse Practitioner
  • Loxahatchee, FL
  • NPI 1568246510
  NPD (past)
• Woodcrest Rehabilitation and Residential Health Care Center LLC

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1508069360
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1669672671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21830 CYPRESS CIR APT 27C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333218",
            "telephone_number": "917-376-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14176 BLACKBERRY DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "917-376-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21830 Cypress Cir Apt 27C",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334333218",
            "country_code": "US",
            "telephone_number": "917-376-3950 x91737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRILL",
        "first_name": "RENATA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303274-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brewer, LCSW
• Carole Brice, RN
• Bright Days Ahead Incorporated
• Bright Future Wellness and Behavioral Services
• Nancy Anne Brighton, LCSW
• Hector Britto, MD
• Andrea Rae Brockman, MMS, PA-C
• Mindy Brodsky
• Daniel Heath Brodtman, D.O.
• Susan Elizabeth Brogan, PSY.D.

• Adult Health Nurse Practitioner in Wellington, FL
• Providers in Wellington, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.