Brenda Runyon Deere, MA, LPA, CPLC, CPWLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

14466 Reflection Lakes Dr
Fort Myers, FL 33907-1806

Phone

(239) 791-8679

NPI assigned

May 25, 2006

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

Other identifiers 2

Other names 1

• Ms. Brenda Elise Deere Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1720034440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14466 REFLECTION LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071806",
            "telephone_number": "239-791-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14466 REFLECTION LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071806",
            "telephone_number": "239-791-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERE",
        "first_name": "BRENDA",
        "middle_name": "RUNYON",
        "name_prefix": "Ms.",
        "credential": "MA, LPA, CPLC, CPWLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE NUMBER",
            "identifier": "2251",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107167",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "DEERE",
            "middle_name": "ELISE",
            "prefix": "MS.",
            "credential": "MA, CPLC,  CPWLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dedicated Senior Medical Centers of Florida, LLC
• Dedicated Senior Medical Centers of Florida, LLC
• Dedicated Senior Medical Centers of Florida, LLC
• Rizcallah Didier Deek, MD
• Heather Deemer
• Liliana P Defiore, RPT
• Pasquale John Defiore, PA-C
• Krysta Jean Defty, PA-C
• Brittany Ann Degler, O.D.
• Claude Degraff, M.D.

• Case Manager/Care Coordinator in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.