Kassondra Amada Shoemaker Brino, RN, CPNP-PC - Nurse Practitioner in Apex, NC

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Kassondra Amada Shoemaker Brino, RN, CPNP-PC is a Nurse Practitioner - Pediatrics physician based in Apex, North Carolina. Kassondra Amada Shoemaker Brino is licensed to practice in North Carolina (license number 5010693) and her current practice location is 307 S Salem St Ste 100, Apex, North Carolina. She can be reached at her office (for appointments etc.) via phone at (919) 627-8771.

NPI number for Kassondra Amada Shoemaker Brino is 1548746365 and her current mailing address is 210 Silver Pine Ct, Durham, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548746365.

Contact Information

Kassondra Amada Shoemaker Brino, RN, CPNP-PC
307 S Salem St Ste 100,
Apex, NC 27502-1845
(919) 627-8771
Not Available

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Physician's Profile

Full NameKassondra Amada Shoemaker Brino
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location307 S Salem St Ste 100, Apex, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548746365
  • Provider Enumeration Date: 07/15/2018
  • Last Update Date: 10/28/2020

Medical Identifiers

Medical identifiers for Kassondra Amada Shoemaker Brino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548746365NPI-NPPES
68535MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics 5010693 (North Carolina)Secondary
363LP0200XNurse Practitioner - Pediatrics 5010693 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kassondra Amada Shoemaker Brino is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kassondra Amada Shoemaker Brino, RN, CPNP-PC
210 Silver Pine Ct,
Durham, NC 27713-9266

Ph: (919) 627-8771		Kassondra Amada Shoemaker Brino, RN, CPNP-PC
307 S Salem St Ste 100,
Apex, NC 27502-1845

Ph: (919) 627-8771

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