Active NPI
Brenda Penn Felder, CRNP
- Case Management Agency
- Woburn, MA
National Provider Identifier
1962632984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- TP005995B
- Practice address
- 600 W Cummings Park
Suite 5000
Woburn, MA 01801-6369 - Phone
- (888) 763-6287
- Fax
- (888) 803-6555
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | TP005995B | PA | Primary |
Addresses
Primary practice location
600 W Cummings Park
Suite 5000
Woburn, MA 01801-6369
Mailing address
600 W Cummings Park
Suite 5000
Woburn, MA 01801-6369
Phone (888) 763-6287
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
| License | State | Type | Specialty |
|---|---|---|---|
| TP005995B | PA | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248393600000",
"number": "1962632984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W CUMMINGS PARK",
"address_2": "SUITE 5000",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016369",
"telephone_number": "888-763-6287",
"fax_number": "888-803-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W CUMMINGS PARK",
"address_2": "SUITE 5000",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016369",
"telephone_number": "888-763-6287",
"fax_number": "888-803-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "BRENDA",
"middle_name": "PENN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "PA",
"license": "TP005995B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.