MICHELLE MARIE BRILEE (NPI# 1114342417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114342417 |
| Entity Type | Individual |
| Full Name | MICHELLE MARIE BRILEE |
| Credential | FNP-BC |
| Practice Address |
14700 Manzanita Park Rd Beaumont CA 92223 |
| Mailing Address |
39000 Bob Hope Dr Elccc - 2nd Floor Attn: Scott Fitzgerald Rancho Mirage CA 92270-3221 |
| Practice Telephone | 9518453155 |
| Mailing Telephone | 7607731451 |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000404 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95000404 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 72780 Country Club Dr, Building A, Suite 104, Rancho Mirage, CA 922704126 | 7608378020 |
| Street Address |
14700 MANZANITA PARK RD |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841314168 | Colleen Suzanne Lyon | Social Worker | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2007-03-19 |
| 1871112789 | Yva Marie Schmalzer | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-04-10 |
| 1013545052 | Eleanor Silva | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-03-27 |
| 1487286142 | Nora Cecilia Alvarez-padilla | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-02-10 |
| 1295367951 | Brianna Dombroske | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-02-10 |
| 1992345466 | Sarah Beth Ikeda | Rehabilitation Practitioner | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-01-13 |
| 1437799186 | Eleno Zepeda | Case Manager/Care Coordinator | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-01-10 |
| 1477108983 | George Don Jones IIi | Case Manager/Care Coordinator | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-08-02 |
| 1386299808 | Kelly Bugarin | Case Manager/Care Coordinator | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-08-02 |
| 1083277958 | Sylvia Isabel Rodriguez Smith | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760969562 | Chrystanya A Adeniji | Nurse Practitioner | 514 N California Ave Ste 18, Beaumont, CA 92223-2120 | 2018-07-24 |
| 1295238632 | Melissa Lyn Tortorice | Nurse Practitioner | 3560 Delaware St Ste 502, Beaumont, TX 77706-3061 | 2018-03-12 |
| 1427334374 | Jt Seaman | Nurse Practitioner | 7090 Prutzman Rd, # 22, Beaumont, TX 77706-5823 | 2011-10-24 |
| 1548889116 | Bridgett Fisk | Nurse Practitioner | 3560 Delaware St Ste 207, Beaumont, TX 77706-3059 | 2020-04-13 |
| 1972934313 | Kelly Sparkman | Nurse Practitioner | 2750 S 8th St, Beaumont, TX 77701-7719 | 2013-12-11 |
| 1780931154 | Bethanne Fondren Carson | Nurse Practitioner | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2012-08-05 |
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|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.