Individual provider Active NPI

Brielle Maranne Almendariz, NP-C

  • Nurse Practitioner
  • Coppell, TX
National Provider Identifier
1003374174
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139450 Issued in TX
Practice address
225 E State Highway 121 Ste 110
Coppell, TX 75019-2180
Phone
(214) 295-2950
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP139450 TX Primary

Addresses

Primary practice location

225 E State Highway 121 Ste 110
Coppell, TX 75019-2180

Mailing address

225 E State Highway 121 Ste 110
Coppell, TX 75019-2180
Phone (214) 295-2950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501001426 TX Practitioner - Nurse Practitioner 6608118203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139450TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahesh Kottapalli, M.D., P.a. CurrentSince Mar 26, 2019 Accepting new patients
Mahesh Kottapalli, M.D., P.a. Current Accepting new patients

Locations

2727 Bolton Boone Dr
Ste 109
Desoto, TX 75115
Phone (855) 955-2256

151 Rvg Pkwy
#101
Waxahachie, TX 75165
Phone (972) 283-2370

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1003374174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E STATE HIGHWAY 121 STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192180",
            "telephone_number": "214-295-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E STATE HIGHWAY 121 STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192180",
            "telephone_number": "214-295-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMENDARIZ",
        "first_name": "BRIELLE",
        "middle_name": "MARANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.