MRS. TAMARA K BROCKMAN


Address: 1 Childrens Plz # 10, Children Medical Center Dept of Nephrology, Dayton, OH 45404-1898
Phone: 9376413304

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RN229335 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 CHILDRENS PLZ # 10
CHILDREN MEDICAL CENTER DEPT OF NEPHROLOGY
City DAYTON
State OH
Zip Code 45404-1898

Providers in the same zip code

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 Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City DAYTON
Zip Code 45404

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Dataset Information

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.

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