Judith L Brewer, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

645616 Issued in TX

Practice address

867 Wellington LN
Wichita Falls, TX 76305-5255

Phone

(940) 704-4496

NPI assigned

Sep 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wound Navigator Consulting PLLC

  • Family Medicine Physician
  • Wichita Falls, TX
  • NPI 1255196085
  Medicare reassignment NPD
• Wound Navigator LLC

  • Clinic/Center
  • Fort Worth, TX
  • NPI 1548026065
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1033492343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 WELLINGTON LN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763055255",
            "telephone_number": "940-704-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 WELLINGTON LN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763055255",
            "telephone_number": "940-704-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JUDITH",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "645616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Wesley Brazil, MD
• Breaking Barriers Therapy Center
• Breion Tafoya DO PLLC
• Anna M Brenson, MS, CCC-SLP
• Brett May MD PA
• Joshua Briggs, MSN
• Michael Glenn Briggs, LCDC-I
• Jeff Lynn Bristo, RPH
• Katrina Bristow, LMT
• Teena Michelle Britt, RBT

• Family Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.