KASSONDRA AMADA SHOEMAKER BRINO (NPI# 1548746365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548746365 |
| Entity Type | Individual |
| Full Name | KASSONDRA AMADA SHOEMAKER BRINO |
| Credential | RN, CPNP-PC |
| Practice Address |
307 S Salem St Ste 100 Apex NC 27502-1845 |
| Mailing Address |
210 Silver Pine Ct Durham NC 27713-9266 |
| Practice Telephone | 9196278771 |
| Mailing Telephone | 9196278771 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
5010693 | NC | Allopathic & Osteopathic Physicians |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5010693 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 68535 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8304 Creedmoor Rd, Raleigh, NC 276131697 | 9198708409 | 9198900374 |
| 2473 Wendell Blvd, Wendell, NC 275916903 | 9198627633 |
| Street Address |
307 S SALEM ST STE 100 |
| City | APEX |
| State | NC |
| Zip Code | 27502-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710637 | Nourish Adolescent Wellness | Pediatrics | 307 S Salem St Ste 100, Apex, NC 27502-1845 | 2020-11-02 |
| 1508466038 | Sara Heather Schaefer | Pediatrics | 307 S Salem St Ste 100, Apex, NC 27502-1845 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194283507 | Reframe Counseling Services, Pllc | Psychologist | 1140 Savannah Ridge Road, Suites 204-206, Holly Springs, NC 27502 | 2019-03-05 |
| 1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
| 1437622792 | Abdelbaky, Arbon, & Boes, Pllc | Dentist | 1460 Kelly Rd, Apex, NC 27502 | 2019-01-09 |
| 1245733815 | Sarah S. Barker, Dds, Pllc | Clinic/Center | 1481 Chapel Ridge Road, Suite 250, Apex, NC 27502 | 2018-03-09 |
| 1497257646 | Sogoal Feizi | Chiropractor | 320 N Salem St Ste 102, Apex, NC 27502 | 2018-03-04 |
| 1417492554 | Nc Eye Associates Od Pllc | Optometrist | 1429 Kelly Road, Apex, NC 27502 | 2016-12-28 |
| 1154872646 | Renaissance Dentistry | Dentist | 800 W Williams Street, Suite 240, Apex, NC 27502 | 2016-10-19 |
| 1871049130 | Kathryn Siddle | Pharmacist | Route 940 Us 64, Apex, NC 27502 | 2016-08-28 |
| 1538526744 | Zhen Li | Acupuncturist | 1011 W. Williams St., Suite 104, Apex, NC 27502 | 2016-01-19 |
| 1174909980 | Karen Kleber Williams | Speech-Language Pathologist | 5448 Apex Peakway # 261, Apex, NC 27502 | 2015-08-04 |
| Find all providers in zip 27502 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982037818 | Jamie Cash Glover | Nurse Practitioner | 1031 Pemberton Hill Rd Ste 101, Apex, NC 27502-4278 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
| Find all providers with the same taxonomy | ||||
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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.