Individual provider Active NPI

Brandy Gene Weems, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1336812171
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29964 Issued in TN
Practice address
1401 Bridgewater LN
Kingsport, TN 37660-4164
Phone
(423) 245-2406
Fax
(423) 245-2404
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29964 TN Primary

Addresses

Primary practice location

1401 Bridgewater LN
Kingsport, TN 37660-4164

Mailing address

1401 Bridgewater LN
Kingsport, TN 37660-4164
Phone (423) 245-2406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20210913002668 TN Practitioner - Nurse Practitioner 7719383934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kingsport Psychiatric ServicesGroup PAC ID 4789925272, 3 clinicians

Practice addresses (Care Compare)

1536 Bridgewater LN
Suite 103
Kingsport, TN 37660-4103
Phone (423) 245-2406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsport Psychiatric Services CurrentSince Aug 1, 2021 Accepting new patients
Kingsport Psychiatry & Counseling Services, PLLC PastSince Feb 24, 2022 Accepting new patients

Locations

1401 Bridgewater Ln
Kingsport, TN 37660
Phone (423) 245-2406

1536 Bridgewater Ln
Ste 103
Kingsport, TN 37660
Phone (423) 245-2406

Organizations & group practices 2

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1336812171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BRIDGEWATER LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604164",
            "telephone_number": "423-245-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BRIDGEWATER LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604164",
            "telephone_number": "423-245-2406",
            "fax_number": "423-245-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "BRANDY",
        "middle_name": "GENE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.