MRS. PAMELA KELLY BRENNAN (NPI# 1831448448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831448448 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA KELLY BRENNAN |
| Other Name | PAMELA JANE KELLY |
| Practice Address |
208 Cibolo Ridge Trail Boerne TX 78015 |
| Practice Telephone | 2102698115 |
| Mailing Telephone | 2102698115 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
103-20123 | VA | Nursing Service Providers |
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
686650 | TX | Nursing Service Providers |
| Street Address |
208 CIBOLO RIDGE TRAIL |
| City | BOERNE |
| State | TX |
| Zip Code | 78015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356845242 | Samantha Royalty | Student in an Organized Health Care Education/Training Program | 31925 Deer Smt, Fair Oaks Ranch, TX 78015 | 2018-03-23 |
| 1124455985 | Charles Kennedy Jr. | Specialist | 8454 Northview Pass, Fair Oak Ranch, TX 78015 | 2013-10-10 |
| 1508112558 | Tammy Marek Pllc | Counselor | 31525 Post Oak Trl, Fair Oaks Ranch, TX 78015 | 2012-07-27 |
| 1295001360 | Shanna Marie Miller | Speech-Language Pathologist | 8614 Carmel Rose, Boerne, TX 78015 | 2012-03-22 |
| 1184991184 | San Antonio Dental Center | Dentist | 8610 Napa Lndg, Boerne, TX 78015 | 2011-11-19 |
| 1386941227 | Priscilla Diane Diazdeleon | Speech-Language Pathologist | 8701 Cavalry, Fair Oaks Ranch, TX 78015 | 2011-02-11 |
| 1649586678 | Erica Janae Lunsford | Physician Assistant | 29602 Midnight Sun, Fair Oaks Ranch, TX 78015 | 2010-08-27 |
| 1053555953 | Ramon Cancino | Family Medicine | 25723 Old Fredericksburg, Boerne, TX 78015 | 2009-04-23 |
| 1194901744 | Fair Oaks Dental, Pa | Dentist | 9091 Fair Oaks Pkwy, Suite 304, Fair Oaks Ranch, TX 78015 | 2008-01-14 |
| 1790993210 | Ladelle Morse | Physical Medicine & Rehabilitation | 25723 Old Fredericksburg Rd, Boerne, TX 78015 | 2007-05-18 |
| Find all providers in zip 78015 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769609 | Debra Doris Iarussi | Registered Nurse | 16511 Curio Gray Trl, Cypress, TX 77433-6232 | 2020-10-28 |
| 1659984508 | Kathy Gabel | Registered Nurse | 18803 N Blanco Bend Dr, Cypress, TX 77433-3116 | 2020-08-28 |
| 1629689161 | Alice Maria Stegmann | Registered Nurse | 13355 N Us Highway 183 Apt 1611, Austin, TX 78750-7144 | 2020-08-10 |
| 1073123428 | Alexandra Fores | Registered Nurse | 1621 Lakeville Dr Ste 304, Kingwood, TX 77339-2694 | 2020-07-31 |
| 1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
| 1649894247 | Mary Kay Rybiski | Registered Nurse | 360 Waterloo Dr, Kyle, TX 78640-6554 | 2020-05-31 |
| 1245866110 | Alyssa Queen | Registered Nurse | 10309 Flatland Trl, Converse, TX 78109-1665 | 2020-03-23 |
| 1871127514 | Tiffani Dickerson | Registered Nurse | 701 Deer Creek Dr, Desoto, TX 75115-3650 | 2020-03-02 |
| 1720619281 | Halie Overton | Registered Nurse | 3405 Harvard Ave, Dallas, TX 75205-3242 | 2020-02-03 |
| 1285264416 | Michele Gaudette | Registered Nurse | 4024 Penny Royal Dr, Fort Worth, TX 76244-6636 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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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.