Individual provider Active NPI

Brandi Zavala, N.P.

  • Family Nurse Practitioner
  • Gainesville, TX
National Provider Identifier
1104284132
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116112 Issued in OK
Practice address
2024 W Highway 82
Gainesville, TX 76240-2051
Phone
(940) 612-8760
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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 116112 OK Primary

Addresses

Primary practice location

2024 W Highway 82
Gainesville, TX 76240-2051

Mailing address

2024 W Highway 82
Gainesville, TX 76240-2051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20180723000502 TX Practitioner - Nurse Practitioner 1355640434 Reassigns benefits to 1 organization
I20241007003137 OK Practitioner - Nurse Practitioner 1355640434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healwell LLCGroup PAC ID 7012399678, 16 clinicians

Practice addresses (Care Compare)

2801 Parklawn Dr
Suite 302
Midwest City, OK 73110-4230
Phone (405) 492-7229

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116112OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healwell of Texas LLC Family CurrentSince Sep 1, 2024 Accepting new patients
Healwell, LLC Family CurrentSince Sep 1, 2024 Accepting new patients
Healwell of Southern Oklahoma CurrentSince Mar 6, 2026 Accepting new patients
Texas Diagnostic Imaging, P.a. Current Accepting new patients

Locations

333 W Main St
Ste 245
Ardmore, OK 73401
Phone (405) 492-7229

2801 Parklawn Dr
Ste 302
Oklahoma City, OK 73110
Phone (405) 492-7229

5900 Balcones Dr
Ste 11482
Austin, TX 78731
Phone (737) 787-4744

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1104284132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402051",
            "telephone_number": "940-612-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "BRANDI",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "116112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.