MR. BRIEN M BOURBEAU (NPI# 1265773790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265773790 |
| Entity Type | Individual |
| Full Name | MR. BRIEN M BOURBEAU |
| Credential | APRN-C |
| Practice Address |
2350 Sunset Point Rd Ste C Clearwater FL 33765-1443 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 7277973155 |
| Practice Fax Number | 7277974301 |
| Mailing Telephone | 7275321355 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN9235386 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9235386 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106339300 | 05 |
| Street Address |
2350 SUNSET POINT RD STE C |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194201392 | Mceba Weston Chishimba | Nurse Practitioner | 2350 Sunset Point Rd Ste C, Clearwater, FL 33765-1443 | 2018-07-11 |
| 1508375189 | Kimberly Bernal | Nurse Practitioner | 2350 Sunset Point Rd Ste C, Clearwater, FL 33765-1443 | 2017-09-26 |
| 1366896565 | Melissa Rose Lafleur | Internal Medicine | 2350 Sunset Point Rd Ste C, Clearwater, FL 33765-1443 | 2016-04-14 |
| 1508264417 | Enver Ruzdija | Nurse Practitioner | 2350 Sunset Point Rd Ste C, Clearwater, FL 33765 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| Find all providers in zip 33765 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858794 | Samantha M Reed | Nurse Practitioner | 2706 Sand Hollow Ct, Clearwater, FL 33761-3731 | 2020-07-10 |
| 1528600236 | Patricia Garcia | Nurse Practitioner | 1200 Woodcrest Ave, Clearwater, FL 33756-4673 | 2019-10-14 |
| 1770149569 | Latrice Markison | Nurse Practitioner | 28465 Us Highway 19 N Ste 200, Clearwater, FL 33761-2511 | 2019-05-16 |
| 1508320458 | Jessica Burgan | Nurse Practitioner | 2047 High Ridge Dr, Clearwater, FL 33763-1311 | 2019-01-24 |
| 1124551429 | Prime Health Partners LLC | Nurse Practitioner | 14100 Us Highway 19 N, Suite 132, Clearwater, FL 33764-7241 | 2017-04-04 |
| 1255880415 | Linda Marchionna | Nurse Practitioner | 1583 Simmons Dr, Clearwater, FL 33756-2326 | 2016-09-29 |
| 1154554491 | Lynne E Merriam | Nurse Practitioner | 2147 Ne Coachman Road, Clearwater, FL 33765-2616 | 2009-09-03 |
| 1346426780 | Arthritis Pain Treatment Center | Nurse Practitioner | 712 Grand Central St, Clearwater, FL 33756-3412 | 2008-01-16 |
| 1780870246 | Cathy M Daumen | Nurse Practitioner | 1212 S Highland Ave, Clearwater, FL 33756-4334 | 2007-09-19 |
| 1043360142 | Kathleen M Spellman | Nurse Practitioner | 1685 Gulf To Bay Blvd, Clearwater, FL 33755-6422 | 2007-01-11 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33765 |
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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.