Individual provider Active NPI

Brandi Amber Rand, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1144548116
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0082934 Issued in VT
Practice address
73 Center St Ste 2
Rutland, VT 05701-4046
Phone
(802) 772-7136
Fax
(866) 271-4702
NPI assigned
May 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0082934 VT Primary

Addresses

Primary practice location

73 Center St Ste 2
Rutland, VT 05701-4046

Mailing address

73 Center St Ste 2
Rutland, VT 05701-4046
Phone (802) 772-7136

Other identifiers 2

IdentifierTypeStateIssuer
1020184MedicaidVT
04176514MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20120524000175 VT Practitioner - Nurse Practitioner 5597928879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0082934VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minds Over Matter, PC Psychiatric/Mental Health CurrentSince Nov 1, 2017 Accepting new patients

Locations

73 Center St
Ste 2
Rutland, VT 05701
Phone (802) 277-2020

Interoperability endpoints

  • Direct secure messaging: mindsovermatter.amber@137176.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1144548116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CENTER ST STE 2",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014046",
            "telephone_number": "802-772-7136",
            "fax_number": "866-271-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CENTER ST STE 2",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014046",
            "telephone_number": "802-772-7136",
            "fax_number": "866-271-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAND",
        "first_name": "BRANDI",
        "middle_name": "AMBER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0082934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020184",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04176514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.