Individual provider Active NPI

Heidi McMahan Vanderbrook, NP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1205183407
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
765415 Issued in TX
Practice address
8222 Douglas Ave Ste 600
Dallas, TX 75225-5937
Phone
(972) 993-5040
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 765415 TX Primary

Addresses

Primary practice location

8222 Douglas Ave Ste 600
Dallas, TX 75225-5937

Mailing address

8222 Douglas Ave Ste 600
Dallas, TX 75225-5937
Phone (972) 993-5040

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
I20130119000003 TX Practitioner - Nurse Practitioner 3274786405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abksw Preferred Health Partners, PLLCGroup PAC ID 2961710892, 48 clinicians

Practice addresses (Care Compare)

8222 Douglas Ave
Suite 600
Dallas, TX 75225-5937
Phone (972) 993-5040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abksw Preferred Health Specialty Partners PLLC CurrentSince Mar 10, 2025 Accepting new patients
Abksw Preferred Health Partners, PLLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

8222 Douglas Ave
Ste 600
Dallas, TX 75225
Phone (972) 993-5040

3417 Gaston Ave
Ste 700
Dallas, TX 75246
Phone (214) 823-4800

440 W Lyndon B Johnson Fwy
Ste 405
Irving, TX 75063
Phone (214) 823-4800

Interoperability endpoints

  • Direct secure messaging: heidi.vanderbrook.1@19173.direct.athenahealth.com

Organizations & group practices 2

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1205183407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255937",
            "telephone_number": "972-993-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255937",
            "telephone_number": "972-993-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBROOK",
        "first_name": "HEIDI",
        "middle_name": "MCMAHAN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "765415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.