Keith Eric Brasfield, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

268457 Issued in AZ

Practice address

4940 S 162ND St
Gilbert, AZ 85298-8466

Phone

(480) 388-5818

NPI assigned

Jan 2, 2022

Sex

Male

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 AZ

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Residential Prescriptive Services PLLCGroup PAC ID 9335646033, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Residential Prescriptive Services PLLC

  • Nurse Practitioner
  • Gilbert, AZ
  • NPI 1265315782

  AZ, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Denova Collaborative Health, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1609300854

  AZ

  Medicare reassignment NPD
• Dr. Gregory Carr MD LLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1386041861

  AZ

  Medicare reassignment
• Denova Collaborative Health, LLC

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1124549043
  NPD
• Denova Collaborative Health, LLC

  • Multi-Specialty Clinic/Center
  • Peoria, AZ
  • NPI 1740079060
  NPD
• Jade Health and Wellness LLC

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1124622733

  Psychiatric/Mental Health

  NPD
• Buena Vista Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Chandler, AZ
  • NPI 1053979724
  NPD (past)
• Buena Vista Recovery, LLC

  • Physical Disabilities Residential Treatment Facility
  • Chandler, AZ
  • NPI 1912523549
  NPD (past)

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1346901451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 S 162ND ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988466",
            "telephone_number": "480-388-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 S 162ND ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988466",
            "telephone_number": "480-388-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASFIELD",
        "first_name": "KEITH",
        "middle_name": "ERIC",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "268457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Bramstedt, NMD
• Lauren Brands
• Jessica Renee Brandt, D.P.T
• Beth Anne Brantley-Daniels
• Katelyn Brantley
• Howard Gregory Brauer Jr., DDS
• Joy Louise Brauer, DDS
• Karin K Braun, CNM
• Brave Hearts Humble Souls Counseling PLLC
• Jeffrey M Braxton, M.D., F.A.C.S.

• All providers in Gilbert, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.