Whitney Barrier Brock, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902201 Issued in MS

Practice address

401 Southcrest Cir Ste 212
Southaven, MS 38671-6721

Phone

(662) 245-5270

NPI assigned

Aug 28, 2017

Last updated

Nov 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

69.56 of 100Reported as group

Quality

43.22

Promoting interoperability

88

Improvement activities

40

Cost

31.99

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

• Comprehensive Rehab Consultants PLLC

  dba Comprehensive Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  LA, MS, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Wound Care Associates LLC

  dba MedCentris Specialty Group

  • Specialist
  • Hammond, LA
  • NPI 1568793750

  MS

  Medicare reassignment NPD
• Vicksburg Clinic LLC

  • Infectious Disease Physician
  • Vicksburg, MS
  • NPI 1659307791

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1215454418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR STE 212",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716721",
            "telephone_number": "662-245-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "855-343-5763",
            "fax_number": "855-343-5763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Byram Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729636",
            "country_code": "US",
            "telephone_number": "855-343-5763",
            "fax_number": "855-343-5763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Stone Creek Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392328210",
            "country_code": "US",
            "telephone_number": "855-343-5763",
            "fax_number": "855-343-5763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 S Frontage Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391805882",
            "country_code": "US",
            "telephone_number": "601-883-6304",
            "fax_number": "601-883-6325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "855-343-5763",
            "fax_number": "855-343-5763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "WHITNEY",
        "middle_name": "BARRIER",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902201",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "157298",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "886293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002928727",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tandra Brider, RN
• Tiana Justine Bridges, OTR/L
• Jovie N. Bridgewater, M.D.
• Amber Briggs, APRN
• Brighter Days Counseling LLC
• Anna Blair Brown, PHARMD
• Cecelia Annita Brown, P.T.
• Christina Marie Brown, O.D.
• Cynthia E Brown, D.D.S.
• Daphane Brown

• Family Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.