Active NPI
Brandelene Wellness & Spa, PLLC
- Family Nurse Practitioner
- Duncanville, TX
National Provider Identifier
1033565296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BRANDELENE WELLNESS & SPA, PLLC
- Practice address
- 100 S Main St
Duncanville, TX 75116-4732 - Phone
- (972) 762-4952
- NPI assigned
- May 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandie Lewthwaite
- Title
- Partner
- Phone
- (972) 762-4952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
100 S Main St
Duncanville, TX 75116-4732
Mailing address
100 S Main St
Duncanville, TX 75116-4732
Phone (972) 762-4952
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476403200000",
"number": "1033565296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MAIN ST",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751164732",
"telephone_number": "972-762-4952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MAIN ST",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751164732",
"telephone_number": "972-762-4952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANDELENE WELLNESS & SPA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-06",
"last_updated": "2016-10-14",
"status": "A",
"authorized_official_last_name": "LEWTHWAITE",
"authorized_official_first_name": "BRANDIE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "972-762-4952"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.