Individual provider Active NPI

Cendy S Brister-Antley, DNP, APRN, FNP, ENP

  • Nurse Practitioner
  • Midland, TX
National Provider Identifier
1144517558
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
614631 Issued in TX
Practice address
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone
(432) 940-6667
NPI assigned
Jul 6, 2011
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 614631 TX Primary
Family Nurse Practitioner 363LF0000X 614631 TX

Addresses

Primary practice location

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846

Mailing address

PO Box 1028
Wink, TX 79789-1028
Phone (432) 940-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111209000110 TX Practitioner - Nurse Practitioner 0749455319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

919 E 32ND St
St David's Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
614631TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of Central Texas PA Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Jul 12, 2022 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Jul 12, 2022 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Interoperability endpoints

  • Direct secure messaging: cantley873264@ahs.direct-ci.com

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, 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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1144517558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "WINK",
            "state": "TX",
            "postal_code": "797891028",
            "telephone_number": "432-940-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015846",
            "telephone_number": "432-940-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTER-ANTLEY",
        "first_name": "CENDY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DNP,  APRN, FNP, ENP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "614631",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "614631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.