BRIANNE LEIGH DENNIS CPNP-PC NPI 1477649812

NPI Information

  • NPI: 1477649812
  • Provider Name: BRIANNE LEIGH DENNIS, CPNP-PC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3181 SW SAM JACKSON PARK RD
    PORTLAND, OR
    ZIP 97239
  • Phone: (813) 205-0681

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NPI Details

Brianne Leigh Dennis, CPNP-PC is a pediatrics nurse practitioner in Portland, OR. Brianne Leigh Dennis, CPNP-PC NPI is 1477649812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (813) 205-0681

The NPI 1477649812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 3/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN216557TENNESSEENo
2363LP0200XNurse PractitionerPediatricsAP60732494WASHINGTONNo
3363LP0200XNurse PractitionerPediatricsAPN21658TENNESSEENo
4363LP0200XNurse PractitionerPediatrics202000504NP-PPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1766845700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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