Brandi D Vazquez, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5010009 Issued in NC

Practice address

791 Boone Station Dr
Burlington, NC 27215-9775

Phone

(336) 471-5576

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

State licenses

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.

• Liberty Medical Care Services, LLC

  • Nurse Practitioner
  • Whiteville, NC
  • NPI 1174920300
  Medicare reassignment

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1336659259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 TRIUMPH DR",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272449679",
            "telephone_number": "336-471-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 BOONE STATION DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159775",
            "telephone_number": "336-471-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "BRANDI",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5010009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecelia Ann Vassar, MS
• Tikki Tawanna Vaughan
• Makayla L Vaughn
• Mary M Vaughn, CRNA
• Creighton Charles Vaught, M.D.
• Vein Voyagers Mobile Lab LLC
• James Joseph Ventrilla, PA
• Lisa Beth Viana, OT/L
• Vince Marley LLC
• Justin Singh Virk, MD

• Primary Care Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.