LAURIE ANN BREBRICK (NPI# 1750386330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750386330 |
| Entity Type | Individual |
| Full Name | LAURIE ANN BREBRICK |
| Other Name | LAURIE NEE DLUGI |
| Credential | MSN |
| Practice Address |
3220 Mission Ave Ste 1 Oceanside CA 92058-1354 |
| Practice Telephone | 7604333155 |
| Practice Fax Number | 7607227359 |
| Mailing Telephone | 7604333155 |
| Mailing Fax Number | 7607227359 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2010-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 112396 | WI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 953 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43883900 | 05 |
| Street Address |
3220 MISSION AVE STE 1 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114298130 | Lisa Maria Abresch | Physician Assistant | 3220 Mission Ave Ste 1, Oceanside, CA 92058 | 2012-01-23 |
| 1750474177 | Jeremy Daniel Blakespear | Physician Assistant | 3220 Mission Ave Ste 1, Oceanside, CA 92058-1354 | 2006-09-30 |
| 1649370164 | Phillip W Poth | Internal Medicine | 3220 Mission Ave Ste 1, Oceanside, CA 92058-1354 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| 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 |
|---|---|---|---|---|
| 1518458165 | Sean Patrick Leonard | Nurse Practitioner | 1166 Sagewood Dr, Oceanside, CA 92056-6464 | 2018-05-18 |
| 1174950315 | Susan Andrea Woods | Nurse Practitioner | 2820 Todd Street, Oceanside, CA 92054 | 2013-10-02 |
| 1447342704 | Nabat Mirpourian | Nurse Practitioner | 3231 Waring Court. Ste. 0, Oceanside, CA 92056 | 2006-09-28 |
| 1548249154 | George Francis Mcmahon IIi | Nurse Practitioner | 3836 Kelton Dr, Oceanside, CA 92056-6324 | 2006-01-11 |
| 1912472010 | Tindu Arikupurathu | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-10-04 |
| 1558861740 | Lori Kealyn Fisher-gamez | Nurse Practitioner | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2018-02-14 |
| 1598216624 | Setareh Faghani | Nurse Practitioner | 2171 S El Camino Real, Oceanside, CA 92054-6229 | 2016-10-24 |
| 1316302151 | Steven John Sims | Nurse Practitioner | 3231 Waring Ct, Ste D, Oceanside, CA 92056-4510 | 2015-12-21 |
| 1811314487 | Prema Udayakumar Ethirajulu | Nurse Practitioner | 1 Healthy Way, E-3, Oceanside, NY 11572-1551 | 2014-03-21 |
| 1376975797 | Leslie Anne Powell | Nurse Practitioner | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2013-08-08 |
| Find all providers in OCEANSIDE | ||||
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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.