Individual provider Active NPI

Nancy Brennan-Jordan, FNP

  • Family Nurse Practitioner
  • East Greenbush, NY
National Provider Identifier
1780623488
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332911 Issued in NY
Practice address
44 Highland Dr
East Greenbush, NY 12061-1820
Phone
(609) 741-0818
NPI assigned
Jun 6, 2006
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 F332911 NY Primary

Addresses

Primary practice location

44 Highland Dr
East Greenbush, NY 12061-1820

Mailing address

44 Highland Dr
East Greenbush, NY 12061-1820
Phone (609) 741-0818

Other names 1

  • Nancy A Brennan Former name

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
332911NYMDAnesthesiology Physician
F332911NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney M. Young Jr. Health Center, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1780623488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HIGHLAND DR",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611820",
            "telephone_number": "609-741-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HIGHLAND DR",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611820",
            "telephone_number": "609-741-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN-JORDAN",
        "first_name": "NANCY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BRENNAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.