Active NPI
Brenna Earnest
- Diabetes Educator Registered Nurse
- Keyser, WV
National Provider Identifier
1982005955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 50860
- Practice address
- 100 Pin Oak LN
Keyser, WV 26726-5908 - Phone
- (304) 597-3774
- Fax
- (304) 597-3536
- NPI assigned
- Sep 10, 2014
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 50860 | WV | Primary |
Addresses
Primary practice location
100 Pin Oak LN
Keyser, WV 26726-5908
Mailing address
100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21410126 | Other | WV | DIABETIC EDUCATOR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50860 | WV | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1982005955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PIN OAK LN",
"city": "KEYSER",
"state": "WV",
"postal_code": "267265908",
"telephone_number": "304-597-3774",
"fax_number": "304-597-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PIN OAK LN",
"city": "KEYSER",
"state": "WV",
"postal_code": "267265908",
"telephone_number": "304-597-3774",
"fax_number": "304-597-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNEST",
"first_name": "BRENNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WV",
"license": "50860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIABETIC EDUCATOR",
"identifier": "21410126",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.