Active NPI
Brenda J Rosenthal, ARNP
- Nurse Practitioner
- Overland Park, KS
National Provider Identifier
1831279595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 45811
- Practice address
- 5701 W 119TH Street
Ste 345
Overland Park, KS 66209 - Phone
- (913) 888-5577
- Fax
- (913) 438-2128
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 45811 | KS | Primary |
Addresses
Primary practice location
5701 W 119TH Street
Ste 345
Overland Park, KS 66209
Mailing address
12140 Nall Ave
Ste 305
Overland Park, KS 66209
Phone (913) 948-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M79E828 | Other | PROVIDER # |
Other names 1
- Brenda J Fogelson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45811 | KS | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1831279595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12140 NALL AVE",
"address_2": "STE 305",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-948-6400",
"fax_number": "913-438-2128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W 119TH STREET",
"address_2": "STE 345",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-888-5577",
"fax_number": "913-438-2128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "BRENDA",
"middle_name": "J",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "45811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER #",
"identifier": "M79E828",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "FOGELSON",
"middle_name": "J",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.