NICOLE CHRISTINE BRILLEMBOURG (NPI# 1679193254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679193254 |
| Entity Type | Individual |
| Full Name | NICOLE CHRISTINE BRILLEMBOURG |
| Practice Address |
9981 S Healthpark Dr Fort Myers FL 33908-3618 |
| Mailing Address |
11401 Waterford Village Dr Fort Myers FL 33913-7917 |
| Practice Telephone | 2393435000 |
| Mailing Telephone | 2394649825 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN9385226 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9981 S HEALTHPARK DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689331 | Rajendra Sunita Sharma | Specialist | 9981 S Healthpark Dr, Suite 279, Fort Myers, FL 33908-3618 | 2005-06-20 |
| 1477153229 | Evalenee Marie Feutz | Student in an Organized Health Care Education/Training Program | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-10-30 |
| 1487263794 | Jena Morrison | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-07-23 |
| 1053929950 | Melissa Anne Swartz | Psychologist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-07-16 |
| 1891311916 | Elvira Ayupova | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-06-24 |
| 1861014557 | Vanessa Rivera | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3620 | 2020-05-15 |
| 1942822879 | Jose Gabriel Lara | Anesthesiologist Assistant | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-05-14 |
| 1235759168 | Lisa Diana Bergh | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3620 | 2020-04-21 |
| 1679193601 | Jessica Robin Golda | Registered Nurse | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-20 |
| 1285263780 | Lee Memorial Health System | Pharmacy | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924504 | Heebyeong Jang | Nurse Anesthetist, Certified Registered | 13160 Corbel Cir Apt 623, Fort Myers, FL 33907-7891 | 2019-04-01 |
| 1467946855 | Sabrina Anne Betancourt | Nurse Anesthetist, Certified Registered | 1650 Ardmore Rd, Fort Myers, FL 33901-5808 | 2018-06-19 |
| 1730672080 | Marcus Kelley | Nurse Anesthetist, Certified Registered | 8430 Village Edge Cir Apt 4, Fort Myers, FL 33919-2892 | 2018-06-12 |
| 1407347859 | Scott Castellano | Nurse Anesthetist, Certified Registered | 8041 S Woods Cir Unit 7, Fort Myers, FL 33919-2818 | 2018-05-22 |
| 1255852166 | Travis Rademaker | Nurse Anesthetist, Certified Registered | 2780 Cleveland Ave # 428, Fort Myers, FL 33901-5858 | 2017-06-30 |
| 1669825790 | Ivette Del Castillo | Nurse Anesthetist, Certified Registered | 4048 Evans Ave Ste 303, Fort Myers, FL 33901-9390 | 2016-07-13 |
| 1003298977 | Kelly Alisa Zipko | Nurse Anesthetist, Certified Registered | 17197 Johnston Dr, Fort Myers, FL 33967-2528 | 2015-06-26 |
| 1083001788 | Reuben Alimbuyao | Nurse Anesthetist, Certified Registered | 8405 Sumner Ave, Fort Myers, FL 33908-3809 | 2015-04-20 |
| 1245651439 | Anesthesia Partners of Swfl LLC | Nurse Anesthetist, Certified Registered | 8255 College Pkwy Ste 100, Fort Myers, FL 33919-5119 | 2013-12-15 |
| 1679839518 | Rosalie Pirrone | Nurse Anesthetist, Certified Registered | 15225 Briar Ridge Cir, Fort Myers, FL 33912-2304 | 2012-04-04 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.