BRANDI MARIE PERONEY (NPI# 1376144543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376144543 |
| Entity Type | Individual |
| Full Name | BRANDI MARIE PERONEY |
| Credential | AGACNP |
| Practice Address |
1165 Montgomery Dr Santa Rosa CA 95405-4897 |
| Practice Telephone | 7075255300 |
| Mailing Telephone | 7247870918 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95015846 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1165 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149749 | Rudy Y Santos | Internal Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2005-07-28 |
| 1366067449 | Susann Mischke | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-06-14 |
| 1750916433 | Cassondra Yvette Hawkins | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-03-03 |
| 1780226001 | Christian Michael Weeber | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-10-09 |
| 1952953093 | Renee Mckenna | Dietitian, Registered | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-07-09 |
| 1023675303 | Saad Sultan | Pharmacist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-05-22 |
| 1013470640 | Sonoe M Oft | Occupational Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-04-10 |
| 1184181281 | Andrew Sonu Kim | Physical Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-02-25 |
| 1073098000 | Samantha Ashley Stewart | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2018-09-25 |
| 1619404431 | Atoosa Molanazadeh | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669623021 | Mario F Palmieri | Nurse Practitioner | 123 Bay St, Santa Rosa, CA 95405-4608 | 2008-10-03 |
| 1316162662 | Mark A Covec | Nurse Practitioner | 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405-4559 | 2007-04-13 |
| 1366067449 | Susann Mischke | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-06-14 |
| 1982248761 | Jayson Geronimo Santiago | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2019-11-04 |
| 1134411820 | Seohee Cho | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2011-05-12 |
| 1013223379 | Julie Barlow | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2010-08-25 |
| 1033442165 | Cynthia Jovanov | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2009-09-08 |
| 1205859311 | Toni M Mcfadden | Nurse Practitioner | 3536 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3634 | 2006-07-26 |
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| 1023619442 | Dolores Josephine Meehan | Nurse Practitioner | South Bay Vascular Center, 2255 South Bascom Avenue Suite 200, Campbell, CA 95008-7800 | 2020-11-03 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.