NPIMap

Individual provider Active NPI

Donna L Brazell, N.P.

  • Family Nurse Practitioner
  • Idalou, TX
National Provider Identifier
1346354818
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP110366 Issued in TX
Practice address
113 Walnut St
Idalou, TX 79329
Phone
(806) 892-2537
Fax
(806) 892-2726
NPI assigned
Aug 19, 2006
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 551054 TX
Family Nurse Practitioner 363LF0000X AP110366 TX Primary

Addresses

Primary practice location

113 Walnut St
Idalou, TX 79329

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407
Phone (806) 761-0333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donna.brazell@direct.myteamcare.com UMC Physicians

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001607 TX Practitioner - Nurse Practitioner 1759272248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

113 Walnut St
Idalou, TX 79329-4003
Phone (806) 892-2537

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP110366TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Family CurrentSince Oct 1, 2009 Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Rodney T Franklin, MD, PA Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Locations

113 Walnut St
Idalou, TX 79329
Phone (806) 892-2537

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

5219 City Bank Pkwy
Ste 214
Lubbock, TX 79407

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

Interoperability endpoints

  • Direct secure messaging: donna.brazell@direct.myteamcare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1346354818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79407",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WALNUT ST",
            "city": "IDALOU",
            "state": "TX",
            "postal_code": "79329",
            "telephone_number": "806-892-2537",
            "fax_number": "806-892-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZELL",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "551054",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP110366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donna.brazell@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "address_1": "113 Walnut St",
            "city": "Idalou",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Idalou, TX

Sources for this page

Verify at the official NPI Registry.