Individual provider Active NPI

Shreya Brahmbhatt, NP

  • Nurse Practitioner
  • Casper, WY
National Provider Identifier
1093577058
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP310823 Issued in GA
Practice address
5830 E 2ND St Ste 537
Casper, WY 82609-4308
Phone
(888) 711-5993
NPI assigned
Jan 25, 2024
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11043782 FL
Nurse Practitioner 363L00000X ARNP.AP.70061678-NP WA
Nurse Practitioner 363L00000X 14258437-4405 UT
Nurse Practitioner 363L00000X APRN-CNP4049034 KY
Nurse Practitioner 363L00000X C-APN.0105401-C-NP CO
Nurse Practitioner 363L00000X APRN-RNP332263 AZ
Nurse Practitioner 363L00000X APRN-CNP58366 WY
Nurse Practitioner 363L00000X APRNCNP1225706 TX
Nurse Practitioner 363L00000X 24195606 VA
Nurse Practitioner 363L00000X APRN-NP310823 GA Primary

Addresses

Primary practice location

5830 E 2ND St Ste 537
Casper, WY 82609-4308

Mailing address

5830 E 2ND St Ste 537
Casper, WY 82609-4308
Phone (888) 711-5993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250117002436 GA Practitioner - Nurse Practitioner 8123557246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

1301 Wellbrook Cir NE
Conyers, GA 30012-3873
Phone (770) 922-3023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-RNP332263AZMDNurse Practitioner
C-APN.0105401-C-NPCOMDNurse Practitioner
11043782FLMDNurse Practitioner
APRN-NP310823GAMDNurse Practitioner
APRN-CNP4049034KYMDNurse Practitioner
APRNCNP1225706TXMDNurse Practitioner
14258437-4405UTMDNurse Practitioner
24195606VAMDNurse Practitioner
ARNP.AP.70061678-NPWAMDNurse Practitioner
APRN-CNP58366WYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
Mavie LLC Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1301 Wellbrook Cir NE
Conyers, GA 30012
Phone (404) 922-3023

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1093577058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST STE 537",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "888-711-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST STE 537",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "888-711-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "SHREYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11043782",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "ARNP.AP.70061678-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "14258437-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "APRN-CNP4049034",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0105401-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "APRN-RNP332263",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "APRN-CNP58366",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "APRNCNP1225706",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "24195606",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP310823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.