Active NPI
Brittany Dirdack, FNP-C
- Family Nurse Practitioner
- Carrollton, TX
National Provider Identifier
1316473671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP133736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR16210800 | NJ | MD | Registered Nurse |
| 899441 | TX | MD | Registered Nurse |
| AP133736 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Healthcare PA | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.