Active NPI
Joan Sirelle Brenner, CNM
- Advanced Practice Midwife
- Rochester, NY
National Provider Identifier
1952366098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- F000054
- Practice address
- 500 Helendale Rd
Lle-10
Rochester, NY 14609-3173 - Phone
- (585) 266-1220
- Fax
- (585) 266-1227
- NPI assigned
- Apr 20, 2006
- Last updated
- Mar 1, 2010
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | F000054 | NY | Primary |
Addresses
Primary practice location
500 Helendale Rd
Lle-10
Rochester, NY 14609-3173
Mailing address
500 Helendale Rd
Lle-10
Rochester, NY 14609-3173
Phone (585) 266-1220
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01973422 | Medicaid | NY | |
| 102982CQ | Other | PREFERRED CARD | |
| P010316528 | Other | BL CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000045 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trillium Health, Inc | Current | Accepting new patients | |
| Trillium Health, Inc | Current | Accepting new patients | |
| Jacquelyn Cullen Howitt MD PLLC | Past | Accepting new patients | |
| Dinolfo Urban LLP | Past | Accepting new patients | |
| Anesthesia Associates of Rochester, P.C. | Past | Accepting new patients |
Locations
259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1861496358
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1265098941
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1760421788
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1598835365
-
dba lake affect ob gyn & midwifery
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1407015431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1952366098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HELENDALE RD",
"address_2": "LLE-10",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146093173",
"telephone_number": "585-266-1220",
"fax_number": "585-266-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HELENDALE RD",
"address_2": "LLE-10",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146093173",
"telephone_number": "585-266-1220",
"fax_number": "585-266-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "JOAN",
"middle_name": "SIRELLE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "F000054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01973422",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARD",
"identifier": "102982CQ",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BL CHOICE",
"identifier": "P010316528",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.