Daytral M Brown, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP120067 Issued in TX

Practice address

103A Woodbine PL
Longview, TX 75601-2912

Phone

(903) 212-7788

Fax

(903) 212-7789

NPI assigned

Mar 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Texas Home health agency, Longview, TX, CCN 679090
• Christus Good Shepherd Home health agency, Longview, TX, CCN 457691
• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
• Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Beverly Advanced Practice Nursing, PLLC

  • Primary Care Clinic/Center
  • Longview, TX
  • NPI 1609382209
  Medicare reassignment NPD Authorized official
• Folarin Health Services, PLLC

  • Urgent Care Clinic/Center
  • Longview, TX
  • NPI 1285341016
  NPD Authorized official
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  Care Compare affiliation
• GSHS Home Health, LLC

  • Home Health Agency
  • Longview, TX
  • NPI 1023128220
  Care Compare affiliation
• Longview Medical Center LP

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1528026267
  Care Compare affiliation
• Texas Home Health Skilled Services,LP

  • Home Health Agency
  • Longview, TX
  • NPI 1669695722
  Care Compare affiliation

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1154629798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756060883",
            "telephone_number": "903-212-7788",
            "fax_number": "903-212-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A WOODBINE PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756012912",
            "telephone_number": "903-212-7788",
            "fax_number": "903-212-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAYTRAL",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120067",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "692645",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP120067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookshire Grocery Company
• Jo Ann Broquie, LPC, LSSP
• Elizabeth Brouillette, PA, APRN
• Becky Lynn Brown
• Brenda McGee Brown, LPC
• Elizabeth Brown, RN
• Jacob W Brown, M.D.
• Johnnie Marie Brown, PROGRAM MANAGER
• Kathleen E Brown, LPC
• Laura Lee Brown, APRN NP-C

• Primary Care Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.

Verify at the official NPI Registry.