Individual provider Active NPI

Sharisa Nicole McClennan-Brewer, L.P.N.

  • Licensed Practical Nurse
  • Tulsa, OK
National Provider Identifier
1831503291
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L0050964 Issued in OK
Practice address
7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713
Phone
(918) 492-2554
Fax
(918) 492-8638
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L0050964 OK Primary

Addresses

Primary practice location

7010 S Yale Ave
Suite 215
Tulsa, OK 74136-5713

Mailing address

327 S 119TH East Ave
Tulsa, OK 74128-2232
Phone (918) 344-7826

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L0050964OKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1831503291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S 119TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741282232",
            "telephone_number": "918-344-7826",
            "fax_number": "918-245-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 S YALE AVE",
            "address_2": "SUITE 215",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365713",
            "telephone_number": "918-492-2554",
            "fax_number": "918-492-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENNAN-BREWER",
        "first_name": "SHARISA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0050964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.