Individual provider Active NPI

Linda Ellen Branz, N.P.

  • Women's Health Nurse Practitioner
  • Waco, TX
National Provider Identifier
1164551420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
561904 Issued in TX
Practice address
3115 Pine Ave
Suite 708
Waco, TX 76708-3247
Phone
(254) 754-0300
Fax
(254) 754-0301
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 561904 TX Primary

Addresses

Primary practice location

3115 Pine Ave
Suite 708
Waco, TX 76708-3247

Mailing address

2801 Live Oak Ave
Waco, TX 76708-3205
Phone (254) 757-0434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
561904TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paul C. Redman, II, M.D. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linda.branz.p1@direct.ppgt.nextgenshare.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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164551420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LIVE OAK AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083205",
            "telephone_number": "254-757-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 PINE AVE",
            "address_2": "SUITE 708",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083247",
            "telephone_number": "254-754-0300",
            "fax_number": "254-754-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANZ",
        "first_name": "LINDA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "561904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.