BRENNAN N CARMODY (NPI# 1629400734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629400734 |
| Entity Type | Individual |
| Full Name | BRENNAN N CARMODY |
| Credential | NP |
| Practice Address |
520 S Eagle Rd Ste 3209 Meridian ID 83642-6351 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083455250 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2015-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NPPEND | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE | G8937328 | 01 |
| WA | L&I | 0338594 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164438560 | Brennan Joseph Carmody | Surgery | 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1930 | 2006-07-31 |
| Street Address |
520 S EAGLE RD STE 3209 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348015 | Robert E. Holland Jr. | Family Medicine | 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 | 2005-07-07 |
| 1659984284 | Heather R Zimmerman | Occupational Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-24 |
| 1619587573 | Maria Herbison | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-05 |
| 1952927543 | Grayson T Kendall | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-19 |
| 1891310371 | David Joseph Matthews | Respiratory Therapist, Registered | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-10 |
| 1356960603 | Rebecca Finder | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-04-15 |
| 1982231023 | Stephen Blake Miltner | Physical Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-26 |
| 1093342834 | Clayton Hawks | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-23 |
| 1912547647 | Emily Tyler Getlein Marques | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-01-10 |
| 1184264244 | Jordan Leach | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642 | 2020-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831619626 | Erica Clanahan | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2017-06-22 |
| 1164441143 | Kathleen A. Martin | Nurse Practitioner | 520 S Eagle Rd, Suite 3209, Meridian, ID 83642-6351 | 2006-07-19 |
| 1225008998 | Julie A Stevens | Nurse Practitioner | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699701615 | Margaret Ann Leverett | Nurse Practitioner | 2305 Coronado Street, Idaho Falls, ID 83404 | 2006-06-23 |
| 1013572973 | Jessica Rose Mcqueary | Nurse Practitioner | 100 E Idaho St, Boise, ID 83712-6267 | 2019-05-07 |
| 1780949164 | Cortney Lynn Schnupp | Nurse Practitioner | 333 N 1st St, 240, Boise, ID 83702-6100 | 2012-07-11 |
| 1710132931 | Jennifer Lynn Newman | Nurse Practitioner | 333 N 1st St Ste 240, Boise, ID 83702-6132 | 2008-12-02 |
| 1861689655 | Jenny Ann Stireman | Nurse Practitioner | 100 Hospital Dr., Suite 200, Ketchum, ID 83340 | 2007-09-26 |
| 1528271103 | Susan Eliane Ault | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2007-05-08 |
| 1629294194 | Kerri L Tucker | Nurse Practitioner | 100 E Idaho St, Ste 400, Boise, ID 83712-6267 | 2007-04-17 |
| 1972615466 | Margaret Leverett, Rncnp, Pllc | Nurse Practitioner | 2305 Coronado Street, Idaho Falls, ID 83404 | 2006-08-31 |
| 1659396430 | Ruth Butterfield | Nurse Practitioner | 100 E Idaho St, Suite 400, Boise, ID 83712-6223 | 2006-07-13 |
| 1699724633 | Velma Seabolt | Nurse Practitioner | 333 N 1st St, Suite 240, Boise, ID 83702-6100 | 2006-05-08 |
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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.