Individual provider Active NPI

Brittany Wadsworth, FNP-C

  • Emergency Registered Nurse
  • Conroe, TX
National Provider Identifier
1033715636
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
876470 Issued in TX
Practice address
17846 Country Place Dr
Conroe, TX 77302-6412
Phone
(720) 514-1734
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104667 TX
Emergency Registered Nurse 163WE0003X 876470 TX Primary

Addresses

Primary practice location

17846 Country Place Dr
Conroe, TX 77302-6412

Mailing address

17846 Country Place Dr
Conroe, TX 77302-6412
Phone (720) 514-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220124000127 TX Practitioner - Nurse Practitioner 8224420302 Reassigns benefits to 3 organizations
I20250124000844 CA Practitioner - Nurse Practitioner 8224420302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wahidullah Medical CorporationGroup PAC ID 0345473062, 3 clinicians

Practice addresses (Care Compare)

2440 23Rd St
Eureka, CA 95501-3203
Phone (707) 298-2011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
876470TXMDEmergency Registered Nurse
104667TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Nov 14, 2022 Accepting new patients
Galveston Physical Medicine PLLC CurrentSince Dec 6, 2021 Accepting new patients
Nluc PLLC CurrentSince Nov 14, 2022 Accepting new patients
Next Level MV LLC CurrentSince Nov 14, 2022 Accepting new patients
Wahidullah Medical Corporation CurrentSince Jan 16, 2025 Accepting new patients
Nluc PLLC CurrentSince Nov 14, 2022 Accepting new patients
Duchon Chiropractic PastSince Dec 6, 2021 Accepting new patients

Locations

2440 23rd St
Eureka, CA 95501
Phone (707) 298-2011

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

2724 61st St
Ste 5
Galveston, TX 77551
Phone (409) 744-9355

5718 Westheimer Rd
Ste 1800
Houston, TX 77057

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 7

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1033715636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17846 COUNTRY PLACE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773026412",
            "telephone_number": "720-514-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17846 COUNTRY PLACE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773026412",
            "telephone_number": "720-514-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "BRITTANY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "104667",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "876470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.