Active NPI
Brenda Jill Keirnan, RNFA CNOR
- Medical-Surgical Registered Nurse
- Vancouver, WA
National Provider Identifier
1982631149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN00096524
- Practice address
- 400 Mother Joseph Place
Southwest Washington Medical Center
Vancouver, WA 98668 - Phone
- (360) 806-0316
- Fax
- (360) 835-0478
- NPI assigned
- Jun 26, 2006
- 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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN00096524 | WA | Primary |
Addresses
Primary practice location
400 Mother Joseph Place
Southwest Washington Medical Center
Vancouver, WA 98668
Mailing address
PO Box 821350
Vancouver, WA 98682-0030
Phone (360) 567-3287
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276338 | Medicaid | OR | |
| 9642448 | Medicaid | WA |
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 |
|---|---|---|---|
| RN00096524 | WA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982631149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 821350",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986820030",
"telephone_number": "360-567-3287",
"fax_number": "360-666-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MOTHER JOSEPH PLACE",
"address_2": "SOUTHWEST WASHINGTON MEDICAL CENTER",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98668",
"telephone_number": "360-806-0316",
"fax_number": "360-835-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIRNAN",
"first_name": "BRENDA",
"middle_name": "JILL",
"credential": "RNFA CNOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "WA",
"license": "RN00096524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276338",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9642448",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.