Organization Active NPI

Brandelene Wellness & Spa, PLLC

  • Family Nurse Practitioner
  • Duncanville, TX
National Provider Identifier
1033565296
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Oct 14, 2016

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.