Brenda Faye Patrick, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

271955 Issued in CA

Practice address

13851 E 14TH St
Suite 206
San Leandro, CA 94578-2631

Phone

(510) 351-9373

Fax

(510) 351-7026

NPI assigned

May 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lightbridge Hospice, LLC

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1154320299
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1972556751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "SUITE 206",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-351-9373",
            "fax_number": "510-351-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "SUITE 206",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-351-9373",
            "fax_number": "510-351-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "BRENDA",
        "middle_name": "FAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "271955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF RN",
            "identifier": "271955",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjay Khushal Patel, PHAM D
• Sneha Alpesh Patel, M.D.
• Tejasvi Yatin Patel
• Anupama Pathak, MD
• Gabrielle Patino, OTR/L
• Kelsey Patterson-Hall
• Chevalier Kermas Patterson
• CJ Patterson
• Robert Patterson, SUDRC
• Amiko Patton

• Adult Health Nurse Practitioner in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.