Kylie Brock

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1129006 Issued in TX

Practice address

5028 122ND St
Lubbock, TX 79424-8398

Phone

(806) 749-7975

Fax

(806) 749-7937

NPI assigned

Jul 18, 2023

Last updated

Jul 8, 2024By 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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kylie.brock@direct.myteamcare.com

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.

• Owen Health Group, PLLC

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1861930703
  Medicare reassignment NPD
• Umc Physicians

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1669418547
  Medicare reassignment NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1326728064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 122ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398",
            "telephone_number": "806-749-7975",
            "fax_number": "806-749-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 122ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398",
            "telephone_number": "806-749-7975",
            "fax_number": "806-749-7937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Slide Rd # D24",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794144310",
            "country_code": "US",
            "telephone_number": "806-761-0450",
            "fax_number": "806-796-7259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kylie.Brock@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6002 Slide Rd # D24",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794144310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Brizzee, RDN, LD
• Emilee Broadhurst, OTR
• Melissa Broadus, FNP-C
• Kelsey Ann Brock, MD
• Kristofer L Brock, M.S. CCC-SLP
• Tracey Deann Brock, LPC
• Emma A Brockhouse, MED, LPC
• Jesseca Rae Brockman, LCDC, LPC
• Kaylee Brooke Brockman, PT, DPT
• Cherish Rachelle Brodbeck, MSN, RNC-OB, EMT-LP

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.

Verify at the official NPI Registry.