Brenda L Wyrick, NURSE PRACTIONER-FAM

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

565424 Issued in TX

Practice address

141 RVG Pkwy Ste 104
Waxahachie, TX 75165-5288

Phone

(972) 923-8923

Fax

(888) 339-3357

NPI assigned

Jul 10, 2006

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

Other identifiers 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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGHIBD
• FHIR API: https://fhir4.healow.com/fhir/r4/HGHIBD/Endpoint/HGHIBD

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.

• Pulmonics Plus PLLC

  • Pulmonary Disease Physician
  • Waxahachie, TX
  • NPI 1962812941
  Medicare reassignment NPD
• Texas Sleep Diagnostics and Therapeutics LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Waxahachie, TX
  • NPI 1336681436
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1356375364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 RVG PKWY STE 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655289",
            "telephone_number": "972-923-8923",
            "fax_number": "888-339-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 RVG PKWY STE 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655288",
            "telephone_number": "972-923-8923",
            "fax_number": "888-339-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "NURSE PRACTIONER-FAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "565424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "565424",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wound Care Practitioners, LLC
• Deryl Wright, CRNA
• Fonny Cooper Wright, LPC
• Jamie Wright, FNP-C
• Roxanne Wyckoff, LCSW
• Craig S Yetter, DO
• Chak Lam Yeung, DO
• Clarence Young III
• Dimple Yu, DMD
• Eman Yusuf, DDS

• Family Nurse Practitioner in Waxahachie, TX
• Providers in Waxahachie, 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 Apr 21, 2020; 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.