Individual provider Active NPI

Brandi Marie Teegarden, FNP

  • Family Nurse Practitioner
  • Cathedral City, CA
National Provider Identifier
1043724933
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006793 Issued in CA
Practice address
68555 Ramon Rd
Cathedral City, CA 92234-3310
Phone
(760) 507-3310
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006793 CA Primary

Addresses

Primary practice location

68555 Ramon Rd
Cathedral City, CA 92234-3310

Mailing address

1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118

Other names 1

  • Brandi Marie Rodriguez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220112002181 CA Practitioner - Nurse Practitioner 7012309594 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. CurrentSince Jun 23, 2024 Accepting new patients
Dap Health, Inc. CurrentSince Jun 23, 2024 Accepting new patients
Dap Health Inc. Current Accepting new patients
Emily Rekuc D.O., Inc. CurrentSince Aug 11, 2021 Accepting new patients

Locations

68555 Ramon Rd
Cathedral City, CA 92234
Phone (619) 873-3538

79440 Highway 111
Ste 105
La Quinta, CA 92253
Phone (760) 777-4067

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

Interoperability endpoints

  • Direct secure messaging: bteegarden676531@direct.ochin.org

Organizations & group practices 4

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1043724933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 N SUNRISE WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623701",
            "telephone_number": "760-323-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68555 RAMON RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343310",
            "telephone_number": "760-507-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEGARDEN",
        "first_name": "BRANDI",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "RODRIGUEZ",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.