MR. BRENNON E GILES (NPI# 1194034553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194034553 |
| Entity Type | Individual |
| Full Name | MR. BRENNON E GILES |
| Other Name | MR. BRENNON E GILES |
| Credential | NURSE PRACTIONER |
| Practice Address |
1735 27th St Ste 302 Portsmouth OH 45662-2679 |
| Mailing Address |
1735 27th St Ste B06 Portsmouth OH 45662-2681 |
| Practice Telephone | 7403568425 |
| Practice Fax Number | 7403538590 |
| Mailing Telephone | 7403568681 |
| Mailing Fax Number | 7403537900 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.11807 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11807 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Ashland Dr, Suite 301, Ashland, KY 411017084 | 6063260322 | 6063269809 |
| Street Address |
1735 27TH ST STE 302 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659465516 | Shanawar Alam | Psychiatry & Neurology | 1735 27th St Ste 302, Portsmouth, OH 45662 | 2006-10-03 |
| 1902994031 | Krista Duckett | Social Worker | 1735 27th St Ste 302, Portsmouth, OH 45662 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| 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 |
|---|---|---|---|---|
| 1477178218 | Peace of Mind Therapeutic Solutions, LLC | Nurse Practitioner | 355 Crawford St Ste 102, Portsmouth, VA 23704-2817 | 2020-06-08 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1700116563 | Rachel Ryan Baudek | Nurse Practitioner | 620 John Paul Jones Cir Bldg 1226b, Portsmouth, VA 23708-2111 | 2009-12-30 |
| 1871622993 | Ellen F. Kingsbury | Nurse Practitioner | 100 Shattuck Way Ste 200, Portsmouth, NH 03801-8004 | 2007-03-05 |
| 1336241983 | Helen S. Rizza | Nurse Practitioner | 30 Mirona Road Ext, Suite 3, Portsmouth, NH 03801-5343 | 2006-09-03 |
| 1023623436 | Marla Jo Clancy | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2020-09-11 |
| 1396373205 | Crystal Gayle Mcbee | Nurse Practitioner | 1634 11th St, Portsmouth, OH 45662-4526 | 2020-03-28 |
| 1265067789 | Donna Marie Hedberg | Nurse Practitioner | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-03-04 |
| 1528610698 | Afaribea Fosu | Nurse Practitioner | 301 Fort Ln, Portsmouth, VA 23704-2221 | 2019-07-09 |
| 1730674375 | Belinda S Rose | Nurse Practitioner | 1634 11th St, Portsmouth, OH 45662 | 2018-06-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on MR. BRENNON E GILES.
| 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.