Larissa Brice

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1017383 Issued in TX

Practice address

102 US Highway 60
Panhandle, TX 79068-7200

Phone

(806) 532-2273

NPI assigned

Nov 10, 2020

Last updated

Apr 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Larissa Davis Former name

Medicare fee-for-service enrollment

Enrolled in TX, CO, AL, CT, TN, FL, WI, GA, AZ9 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 9

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nuvoair Medical PCGroup PAC ID 1557742368, 17 clinicians

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/27550/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: larissa.brice.1@25522.direct.athenahealth.com
• Direct secure messaging: larissa.brice.1@30093.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nuvoair Medical PC

  dba NuvoAir Medical

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1417688680

  AL, AZ, CT, FL, GA, TN

  Medicare reassignment Care Compare group NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group NPD
• Nuvoair Medical PC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1437865920
  Medicare reassignment NPD
• Panhandle Family Care LLC

  dba Family Care Clinic of Panhandle

  • Nurse Practitioner
  • Panhandle, TX
  • NPI 1487886966
  Medicare reassignment NPD
• Nuvoair Medical, PC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1659087153
  Medicare reassignment NPD
• Panhandle Family Care LLC

  dba Family Care Clinic of Panhandle

  • Rural Health Clinic/Center
  • Panhandle, TX
  • NPI 1003407834
  NPD
• Nuvoair Medical PC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1720794266
  NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1043812449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790680010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 US HIGHWAY 60",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790687200",
            "telephone_number": "806-532-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "LARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1017383",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1017383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "DAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Advanced Biogenetics and Life Sciences, LLC
• Keith N Black, DO
• Ajay Ray Bonner
• Brandi Nicole Brame, LPC
• Kaylin Dawn Chase-Henley, FNP-C
• City of Panhandle (Panhandle EMS)
• Whitley Clay, LPC
• Alyssa Crawford, APRN
• Cheryl Renee Gergens, FNP-BC

• Family Nurse Practitioner in Panhandle, TX
• Providers in Panhandle, 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 Apr 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.