Brenda D Tilton, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP08001 Issued in OH

Practice address

1261 Airport Rd
Wilmington, OH 45177-9389

Phone

(937) 283-9289

Fax

(937) 283-9343

NPI assigned

Mar 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780713180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 RALEIGH PL",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772615",
            "telephone_number": "937-283-9289",
            "fax_number": "937-283-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 AIRPORT RD",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451779389",
            "telephone_number": "937-283-9289",
            "fax_number": "937-283-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILTON",
        "first_name": "BRENDA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP08001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J. Kreusch, Jr. D.C. Inc. (Kreusch Chiropractic Center)
• Kashira Thompson-Myburgh, CDCA
• Alan Robert Thompson, DC
• Zachary Alexdander Thompson, DPT
• Thrive Health & Vitality
• Lisa Ann Tilton, CDCA
• Timothy P Schirmer MD LLC
• Walter W. Timperman Jr., M.D.
• Keith Tofte, M.D.
• Tamara Tofte, APRN

• Family Nurse Practitioner in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.