BRENDAN GORDON TENNEFOSS (NPI# 1528571130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528571130 |
| Entity Type | Individual |
| Full Name | BRENDAN GORDON TENNEFOSS |
| Credential | DNP |
| Practice Address |
904 W Riverside Ave Unit 1107 Spokane WA 99210-0329 |
| Practice Telephone | 5092553527 |
| Practice Fax Number | 8589472017 |
| Mailing Telephone | 5092553527 |
| Mailing Fax Number | 8589472017 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 65076 | ID | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN60800461 | WA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 201708761RN | OR | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 0000217575 | TN | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 201709029NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201709029N | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP61074323 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
65076 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1077 Gateway Loop Ste B, Springfield, OR 974771114 | 5418440151 | 5416362722 |
| 1341 N Northwood Center Ct Ste B, Coeur D Alene, ID 838142471 | 2087717054 | 2087589331 |
| 1890 Waite St Ste 1, North Bend, OR 974591229 | 5417566232 | 5417566234 |
| 1200 Hilyard St Ste 230, Eugene, OR 97401 | 4582056041 | 4582056009 |
| Street Address |
904 W RIVERSIDE AVE UNIT 1107 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99210-0329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958530 | Metta Wellness Nw Pllc | Clinic/Center | 904 W Riverside Ave Unit 1107, Spokane, WA 99210-0329 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982118394 | Dawn Marie Depriest | Nurse Practitioner | 600 N. Riverfront Blvd, Esfcom, Spokane, WA 99210 | 2017-11-21 |
| 1760641021 | Spokane Hyperbaric and Wound Care Consultants Ps | General Practice | West 800 Fifth Ave, Deaconess Medical Center, Spokane, WA 99210 | 2008-06-03 |
| 1144552704 | Northwest Pacific Emergency Physicians LLP | Emergency Medicine | 800 West Fifth Avenue, Spokane, WA 99210-0248 | 2010-02-08 |
| 1861563579 | Susan Marie Edgerly | Dietitian, Registered | 800 W 5th Ave, Spokane, WA 99210-0248 | 2006-11-13 |
| 1649482654 | Judith L Engel | Dietitian, Registered | Shriners Hospital for Children Spokane, 911 W 5th Avenue, Spokane, WA 99210-2472 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811748 | Gymnastics, Rehabilitation, and Independence Programs LLC | Occupational Therapist | 1304 E 5th Ave, Spokane, WA 99202-2308 | 2020-11-08 |
| 1437750817 | Nw Family Psychology Rock Pointe | Counselor | 1212 N Washington St Ste 105, Spokane, WA 99201-2441 | 2020-11-03 |
| 1588264287 | Mary Elleinne Felix Valentin | Registered Nurse | 8452 N Farmdale Ct, Spokane, WA 99208-6884 | 2020-10-30 |
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1992305981 | Stephanie Camper | Physical Therapist | 5412 S Madelia St, Spokane, WA 99223-8147 | 2020-10-28 |
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1043819550 | Ginger Lee Grey | Counselor | 1325 W 1st Ave Ste 314, Spokane, WA 99201-4135 | 2020-10-26 |
| 1457950909 | Daniela Brown I | Occupational Therapist | 5618 N Fleming St, Spokane, WA 99205-7448 | 2020-10-25 |
| 1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
| 1871192567 | Chelsey Michelle Pangborn | Recreation Therapist | 4815 N Assembly St Bldg 31, Spokane, WA 99205-6185 | 2020-10-22 |
| Find all providers in SPOKANE | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992142889 | Amber Ann Triplett | Nurse Practitioner | 101 W Cataldo Ave Ste 150, Spokane, WA 99201 | 2013-05-31 |
| 1003458548 | Heidi A Weitzel | Nurse Practitioner | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2019-10-16 |
| 1720569593 | Colleen Marie-kieser Moore | Nurse Practitioner | 601 S Sherman St, Spokane, WA 99202-1311 | 2018-08-28 |
| 1194108340 | Malorie Marguerite Mahan | Nurse Practitioner | 123 E Indiana Ave, Spokane, WA 99207-2313 | 2015-07-07 |
| 1811234115 | Ellen Olson | Nurse Practitioner | 123 E Indiana Ave, Spokane, WA 99207-2313 | 2013-01-08 |
| 1073870648 | Molly B Stapleton | Nurse Practitioner | 801 S Stevens St, Spokane, WA 99204 | 2012-04-19 |
| 1649571191 | Anna Irwin Pietro | Nurse Practitioner | 5921 N Market St, Spokane, WA 99208-2484 | 2010-11-14 |
| 1932339678 | Christina L Sell | Nurse Practitioner | 6001 N Mayfair St, Spokane, WA 99208 | 2009-07-15 |
| 1467501817 | Linda L. J. Walker | Nurse Practitioner | 101 W 8th Ave, Spokane, WA 99204-2307 | 2007-01-08 |
| 1649366246 | Deborah Lynn Miller | Nurse Practitioner | 5904 N Division, Spokane, WA 99208 | 2006-10-04 |
| Find all providers in SPOKANE | ||||
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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.