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Deactivated NPI 1174756506 Deactivated / Inactive NPI Female Practitioner

Sandra Susan Brazil

Licensed Practical Nurse • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Brazil has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 02, 2009
NPI Deactivation Date May 13, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Sandra Brazil was a registered Licensed Practical Nurse practicing in Minneapolis, MN. Throughout an active medical career spanning 10 years, Sandra Brazil provided care at the practice location at 1132 CENTRAL AVE NE until profile deactivation on 2019-05-13.

Practice Location & Contact Primary Location

Practice Address

1132 Central Ave Ne

Minneapolis, MN 554131512

Telephone 6122361700
Fax 6122361701
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
146 Specialists

Practicing in Minneapolis, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN L 004525-6

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Roderick Coleman , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1033349543

Licensed Alcohol and Drug Counselor

Kim Parker , ADC-T

Counselor - Addiction (Substance Use Disorder)

NPI 1053544270

ADCT

Meghan Cunningham , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1083847800

Licensed Alcohol and Drug Counselor

Denise Wilkins , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1134350663

Licensed Alcohol and Drug Counselor

Kimberley Edens , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1205955978

Licensed Alcohol and Drug Counselor

Kristine Tures , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1275893497

Licensed Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated May 13, 2019

Record deactivated on May 13, 2019

NPI Profile Active September 02, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2009

Registered at 1132 CENTRAL AVE NE, MINNEAPOLIS, MN 554131512 (Tel: 6122361700)

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Updated Business Mailing Address September 02, 2009

Registered at 1132 CENTRAL AVE NE, MINNEAPOLIS, MN 554131512 (Tel: 6122361700)

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Provider Name / Credentials Updated September 02, 2009

Recorded as SANDRA BRAZIL

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2009

Licensed Practical Nurse (License #L 004525-6 in MN)

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Initial NPI Registration & Enumeration September 02, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174756506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2009
Last Update: September 02, 2009
Deactivation Date: May 13, 2019

Mailing Address

1132 Central Ave Ne

Minneapolis, MN 554131512

Phone: 6122361700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.