Jacqueline Ann Brazil, R.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

464833 Issued in CA

Practice address

3390 Country Village Rd Apt 2217
Riverside, CA 92509-1084

Phone

(951) 403-8879

NPI assigned

Jan 11, 2014

Last updated

Jan 11, 2014By 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": "1389398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389398400000",
    "number": "1699197590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3591",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925193591",
            "telephone_number": "951-403-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 COUNTRY VILLAGE RD APT 2217",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925091084",
            "telephone_number": "951-403-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIL",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-11",
        "last_updated": "2014-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "464833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Margarita Bravo
• Luis Roberto Bravo
• Ralph Anthony Bravo
• Brailyn Bray
• Anne Brazdzionis
• Shevan Breaux, LMFT
• John Breazeal, M.S.
• Carmen Breda
• Dennis R Breese, DPT
• Ryan L. Brenchley, M.D.

• Pediatric Registered Nurse in Riverside, CA
• Providers in Riverside, CA by specialty
• Pediatric Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2014; 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.