MRS. TAMARA K BROCKMAN (NPI# 1639224140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639224140 |
Entity Type | Individual |
Full Name | MRS. TAMARA K BROCKMAN |
Credential | CPNP |
Practice Address |
1 Childrens Plz # 10 Children Medical Center Dept of Nephrology Dayton OH 45404-1898 |
Mailing Address |
1321 Terrington Way Miamisburg OH 45342-4280 |
Practice Telephone | 9376413304 |
Practice Fax Number | 9376416400 |
Mailing Telephone | 9372475372 |
Mailing Fax Number | 9376414600 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2012-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN229335 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1 CHILDRENS PLZ # 10 CHILDREN MEDICAL CENTER DEPT OF NEPHROLOGY |
City | DAYTON |
State | OH |
Zip Code | 45404-1898 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
Find all providers in zip 45404 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
1205257482 | Rachel Diaz | Nurse Practitioner | 601 S Edwin C Moses Blvd. - 4th Floor Nw Building, Samaritan Behavioral Health, Inc., Dayton, OH 45417-3424 | 2013-12-14 |
1073756581 | Joia Lynn Henson | Nurse Practitioner | 1160 Stillcreek Drive, Dayton, OH 45458-3222 | 2009-04-14 |
1750421947 | Sherry L Kahn | Nurse Practitioner | 5079 Mad River Rd, Dayton, OH 45429-2138 | 2007-02-07 |
1780210096 | Hilary Lynne Fortkamp | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-03-18 |
1497237754 | Laura Nicole Churchman | Nurse Practitioner | 1435 Shoup Mill Rd, Dayton, OH 45414-3978 | 2018-09-04 |
1245738210 | Kimberly Ann Lane | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404-1873 | 2018-01-24 |
1811405020 | Erica Beck | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404-1873 | 2018-01-22 |
1477926772 | Amy Kosanovich | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404-1873 | 2015-11-09 |
1285020610 | Morgan Hagerman | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404-1873 | 2015-04-13 |
Find all providers in DAYTON |
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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.