Brandy Prince, NP-C

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

658153 Issued in TX

Practice address

1207 Arista Drive
Suite 103
Rockwall, TX 75032

Phone

(469) 402-1877

Fax

(469) 402-1969

NPI assigned

Feb 14, 2007

Last updated

Aug 18, 2016By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Terri Suresh Acnp PLLC

  dba Hormonal Health Wellness and Aesthetic Centers

  • Ambulatory Surgical Clinic/Center
  • Southlake, TX
  • NPI 1851759534
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1326181041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N KIMBALL AVE",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-328-8376",
            "fax_number": "817-328-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 ARISTA DRIVE",
            "address_2": "SUITE 103",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "469-402-1877",
            "fax_number": "469-402-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "BRANDY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "658153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "658153",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Apnea Centers LLP
• Geoffrey Scott Price, PHYSICAL THERAPIST
• Paula Lynn Price, L.P.C.
• Primary Care Physicians of Texas, PA
• Prime Eye Care, P.a.
• Princess Home Health Agency Inc
• Priority ER of Rockwall LLC
• Priority One Transportation, LLC
• Pro Active Podiatry PA
• Proskill Behavioral Services PLLC

• General Practice Registered Nurse in Rockwall, TX
• Providers in Rockwall, TX by specialty
• General Practice Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.