CHARLISA BROTHERS (NPI# 1588218663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588218663 |
| Entity Type | Individual |
| Full Name | CHARLISA BROTHERS |
| Credential | NP-C |
| Practice Address |
410 E Parkcenter Cir N San Bernardino CA 92408-2869 |
| Practice Telephone | 9093664230 |
| Mailing Telephone | 9095497701 |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95012553 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
410 E PARKCENTER CIR N |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389482 | John Franklin Randolph | Family Medicine | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2005-07-07 |
| 1659901429 | Maricelle Ranola | Dietitian, Registered | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2020-01-21 |
| 1124662242 | Stembile Madakiwe | Registered Nurse | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2019-10-31 |
| 1871064022 | Marla Faye Downs | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2018-12-16 |
| 1043781297 | Nancy Elizabeth Maurer | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2018-12-16 |
| 1679058648 | Harvey Abonales | Physical Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2018-09-26 |
| 1902324973 | Matthew O Richards | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2017-08-30 |
| 1992170575 | Innovage Health Partners, Inc. | Internal Medicine | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2015-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| 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 |
|---|---|---|---|---|
| 1952946618 | Donna Mirote Siazon | Nurse Practitioner | 1800 Western Ave Ste 303, San Bernardino, CA 92411-1354 | 2019-11-16 |
| 1568850576 | Joel Ombao Inc. | Nurse Practitioner | 1121 Amberwood Ct, San Bernardino, CA 92407-4126 | 2014-12-26 |
| 1417210774 | Merlinda Macalintal Bathan | Nurse Practitioner | 2509 Shady Glen Ln, San Bernardino, CA 92408-4154 | 2012-06-21 |
| 1700948924 | Yvonne Carlo Medock | Nurse Practitioner | 190 E. Highland Ave, San Bernardino, CA 92404-3658 | 2006-12-14 |
| 1871543397 | Reina Anne Briganti | Nurse Practitioner | 4130 Hallmark Pkwy, Suite C, San Bernardino, CA 92407-1877 | 2006-05-12 |
| 1508323361 | Brenda Marie Felter | Nurse Practitioner | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-02-27 |
| 1689143778 | Kimberly Anne Smith | Nurse Practitioner | 249 E Highland Ave, San Bernardino, CA 92404-3700 | 2018-11-19 |
| 1740769157 | Julie Emma Swerdlow Wailes | Nurse Practitioner | 1906 Commercenter E Ste 100, San Bernardino, CA 92408-3423 | 2018-08-08 |
| 1760975825 | Ambika Ranabhat | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2018-06-12 |
| 1770074791 | Nomagugu Mafu | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2018-05-24 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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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.