BRENT MEDEIROS (NPI# 1598362311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598362311 |
| Entity Type | Individual |
| Full Name | BRENT MEDEIROS |
| Practice Address |
1030 President Ave Rm 304 Fall River MA 02720-5923 |
| Mailing Address |
226 Beckwith St Cranston RI 02910-1851 |
| Practice Telephone | 5082356427 |
| Practice Fax Number | 5082356654 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN02417 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | RN2293550 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | APRN LICENSE | APRN02417 | 01 |
| MA | APRN LICENSE | RN2293550 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 Hurst Ln, Tiverton, RI 028782312 | 4016244403 | |
| 363 Highland Ave, Fall River, MA 027203700 | 5089737000 |
| Street Address |
1030 PRESIDENT AVE RM 304 |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336348978 | Swetha Nataraj | Internal Medicine | 1030 President Ave Rm 304, Fall River, MA 02720-5923 | 2007-07-13 |
| 1437591682 | Fall River Nephrology, Stewart Ipa | Internal Medicine | 1030 President Ave Rm 304, Fall River, MA 02720-5923 | 2013-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| 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 |
|---|---|---|---|---|
| 1619369055 | Elizabeth Y Fitz | Nurse Practitioner | 1 Father Devalles Blvd Unit 3, Fall River, MA 02723-1511 | 2015-02-23 |
| 1649575846 | Emmanuel D Resendes | Nurse Practitioner | 300 Hanover St Ste 2a, Fall River, MA 02720-5451 | 2011-01-19 |
| 1912004474 | Kate I Szal | Nurse Practitioner | 901 S Main St Ste 102, Center for Vascular Diseases, Fall River, MA 02724-2943 | 2006-09-19 |
| 1821055518 | Alyson L Mandel | Nurse Practitioner | 289 Pleasant St Ste 501, Fall River, MA 02721-3005 | 2006-04-27 |
| 1164076899 | Julia Margaret Sylvia | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1733 | 2019-07-31 |
| 1720544133 | Alicia Marie Pimentel | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-02-11 |
| 1750850665 | Faithe Weathers | Nurse Practitioner | 528 Newton St, Fall River, MA 02721-2366 | 2018-11-20 |
| 1891274189 | Samantha Cruz | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-08-08 |
| 1346732534 | Brianne Caitlen Santos | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-06-04 |
| 1871033019 | Keith D Turcotte | Nurse Practitioner | 277 Pleasant St, Fall River, MA 02721-3005 | 2017-03-07 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on BRENT MEDEIROS.
| 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.