Active NPI
Rebecca Brandenburg, APRN- CNP
- Psychiatric/Mental Health Nurse Practitioner
- Berea, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3012601
- Practice address
- 305 Estill St
Berea, KY 40403-1742 - Phone
- (859) 985-1415
- Fax
- (859) 986-6752
- NPI assigned
- Oct 30, 2018
- Last updated
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012601 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3012601 | KY | Primary |
Addresses
Primary practice location
305 Estill St
Berea, KY 40403-1742
Mailing address
1010 Main St S
MC Kee, KY 40447-7089
Phone (859) 626-7700
Other practice location 1
110 River Dr
Irvine, KY 40336-1118
Phone (606) 717-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6031 E Main St
Suite 147
Columbus, OH 43213-3590
Phone (859) 328-2473
7617 Upper Johns Creek Rd
Phelps, KY 41553-8775
Phone (606) 835-9333
950 Red House Rd
Richmond, KY 40475-9392
Phone (859) 328-2473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Hilltop Primary Care, Inc | Current | Accepting new patients | |
| Psychmind Counseling and Psychiatry LLC | Current | Accepting new patients | |
| Endeavor Health, PLLC | Family | Current | Accepting new patients |
| Hilltop Primary Care, Inc | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Trinity Health Group, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Brandenburg4Llc | Past | Accepting new patients |
Locations
104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
110 River Dr
Irvine, KY 40336
Phone (606) 717-1024
30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665
103 Southern Soul Way
Lancaster, KY 40444
Phone (855) 942-7787
1010 Main St S
McKee, KY 40447
Phone (606) 287-7104
116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143
480 Main St
Paint Lick, KY 40461
Phone (859) 925-2444
7617 Upper Johns Creek Rd
Phelps, KY 41553
Phone (606) 835-9333
120 N 2nd St
Richmond, KY 40475
238 N 2nd St
Ste 2
Richmond, KY 40475
Phone (859) 328-2473
401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700
950 Red House Rd
Richmond, KY 40475
Phone (859) 328-2473
6031 E Main St
Columbus, OH 43213
Phone (614) 967-7775
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir4.healow.com/fhir/r4/DFJBDD/Endpoint/DFJBDD
Organizations & group practices 14
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.
-
- Rural Health Clinic/Center
- Phelps, KY
- NPI 1124084488
-
dba White House Clinic
- Federally Qualified Health Center (FQHC)
- McKee, KY
- NPI 1770569113
-
- Professional Counselor
- Irvine, KY
- NPI 1952047193
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Richmond, KY
- NPI 1467304451
-
dba White House Clinic
- Federally Qualified Health Center (FQHC)
- Berea, KY
- NPI 1023094695
-
dba White House Clinics
- Federally Qualified Health Center (FQHC)
- Berea, KY
- NPI 1023814225
-
dba White House Clinic
- Federally Qualified Health Center (FQHC)
- Irvine, KY
- NPI 1427283647
-
dba White House Clinics
- Federally Qualified Health Center (FQHC)
- Mount Vernon, KY
- NPI 1437407723
-
dba White House Clinics
- Federally Qualified Health Center (FQHC)
- Lancaster, KY
- NPI 1588187504
-
dba White House Clinic-Richmond
- Federally Qualified Health Center (FQHC)
- Richmond, KY
- NPI 1659358398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1104393925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MAIN ST S",
"city": "MC KEE",
"state": "KY",
"postal_code": "404477089",
"telephone_number": "859-626-7700",
"fax_number": "859-626-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ESTILL ST",
"city": "BEREA",
"state": "KY",
"postal_code": "404031742",
"telephone_number": "859-985-1415",
"fax_number": "859-986-6752"
}
],
"practiceLocations": [
{
"address_1": "110 River Dr",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "KY",
"postal_code": "403361118",
"country_code": "US",
"telephone_number": "606-717-1024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDENBURG",
"first_name": "REBECCA",
"credential": "APRN- CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012601",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3012601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.