Individual provider Active NPI

Bryanna Marie Whitehurst, APRN, FNP-C

  • Family Nurse Practitioner
  • Winnsboro, TX
National Provider Identifier
1144895590
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1105867 Issued in TX
Practice address
209 E Broadway St
Winnsboro, TX 75494-2604
Phone
(903) 342-3355
NPI assigned
May 26, 2021
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1105867 TX Primary
School Nurse Practitioner 363LS0200X 935592 TX

Addresses

Primary practice location

209 E Broadway St
Winnsboro, TX 75494-2604

Mailing address

209 E Broadway St
Winnsboro, TX 75494-2604
Phone (903) 342-3355

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
I20230410002009 TX Practitioner - Nurse Practitioner 4880069616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnsboro Health Services PLLCGroup PAC ID 2668784083, 3 clinicians

Practice addresses (Care Compare)

209 E Broadway St
Winnsboro, TX 75494-2604
Phone (903) 342-3355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
935592TXMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winnsboro Health Services PLLC Multi-Specialty CurrentSince Mar 8, 2023 Accepting new patients

Locations

209 E Broadway St
Winnsboro, TX 75494
Phone (903) 342-3355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11327/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1144895590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E BROADWAY ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942604",
            "telephone_number": "903-342-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E BROADWAY ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942604",
            "telephone_number": "903-342-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "BRYANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1105867",
            "primary": true
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "TX",
            "license": "935592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, TX

Sources for this page

Verify at the official NPI Registry.