Individual provider Active NPI

Brittany Dirdack, FNP-C

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1316473671
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133736 Issued in TX
Practice address
3044 Old Denton Rd
Suite 317
Carrollton, TX 75007-5016
Phone
(972) 242-4440
NPI assigned
May 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 899441 TX
Registered Nurse 163W00000X 26NR16210800 NJ
Family Medicine Physician 207Q00000X AP133736 TX
Family Nurse Practitioner 363LF0000X AP133736 TX Primary

Addresses

Primary practice location

3044 Old Denton Rd
Suite 317
Carrollton, TX 75007-5016

Mailing address

2413 Top Rail LN
Southlake, TX 76092-5741
Phone (973) 876-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR16210800NJMDRegistered Nurse
899441TXMDRegistered Nurse
AP133736TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Healthcare PA CurrentSince Oct 20, 2017 Accepting new patients

Locations

3044 Old Denton Rd
Ste 3
Carrollton, TX 75007
Phone (972) 242-4440

3044 Old Denton Rd
Ste 317
Carrollton, TX 75007
Phone (972) 242-3361

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": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1316473671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 TOP RAIL LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925741",
            "telephone_number": "973-876-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD",
            "address_2": "SUITE 317",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075016",
            "telephone_number": "972-242-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRDACK",
        "first_name": "BRITTANY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "899441",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16210800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP133736",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.