MRS. BRENDA KAUFFMAN KOZAK (NPI# 1477508075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477508075 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA KAUFFMAN KOZAK |
| Other Name | BRENDA S KAUFFMAN |
| Credential | CRNP |
| Practice Address |
2605 Keiser Blvd Wyomissing PA 19610 |
| Practice Telephone | 6106858500 |
| Practice Fax Number | 6106854833 |
| Mailing Telephone | 6106858500 |
| Mailing Fax Number | 6106854833 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP009049 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101599590 0001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104378744 | Brenda Jean Kozak | Nurse Practitioner | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2016-10-31 |
| Street Address |
2605 KEISER BLVD |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659361095 | Guy N Piegari Jr. | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2005-10-26 |
| 1184233520 | Jamie Evans | Nurse Practitioner | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2020-07-30 |
| 1215406293 | Julian K Derr | Nurse Practitioner | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2018-11-19 |
| 1962763789 | David C Zisa | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2012-06-07 |
| 1427324227 | Vincent Pinelli | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2012-03-26 |
| 1952561953 | Nicholas Anthony Rossi | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2008-06-12 |
| 1689842049 | Troy William Trayer | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2008-02-19 |
| 1073681474 | Tara Lynn Dimino | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2006-12-01 |
| 1518991025 | Sandra Bixler | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610 | 2006-07-10 |
| 1235188319 | Ronald J Polinsky Jr. | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406293 | Julian K Derr | Nurse Practitioner | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2018-11-19 |
| 1720511843 | Valerie Ann Galante | Nurse Practitioner | 1200 Broadcasting Rd, Suite 200, Wyomissing, PA 19610-3206 | 2017-04-05 |
| 1144505975 | Todd Staub | Nurse Practitioner | 2608 Keiser Blvd, Wyomissing, PA 19610 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
| 1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
| 1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
| 1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1477100311 | Larissa Marie Glowinski | Nurse Practitioner | 502 Vna Rd, East Stroudsburg, PA 18301-7965 | 2019-08-26 |
| 1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
| Find all providers with the same taxonomy | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on MRS. BRENDA KAUFFMAN KOZAK.
| 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.