Individual provider Active NPI

Breann McIlhenny Hart, APRN, MSN, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1356710230
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129012 Issued in TX
Practice address
323 E Hawkins Pkwy Ste a
Longview, TX 75605
Phone
(903) 758-2746
Fax
(903) 758-7127
NPI assigned
Sep 21, 2015
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP129012 TX
Family Nurse Practitioner 363LF0000X AP129012 TX Primary

Addresses

Primary practice location

323 E Hawkins Pkwy Ste a
Longview, TX 75605

Mailing address

323 E Hawkins Pkwy Ste a
Longview, TX 75605-8162
Phone (903) 758-2746

Other practice location 1

1806 E Marshall Avenue
Ste 650
Marshall, TX 75670
Phone (903) 758-2746

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160211002346 TX Practitioner - Nurse Practitioner 3274837265 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Orthopaedic Clinic Association CurrentSince Aug 16, 2019 Accepting new patients
Regional Clinics of Longview CurrentSince Dec 25, 2016 Accepting new patients
Post Acute Specialists of Texas PA Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

709 Hollybrook Dr
Ste 3401
Longview, TX 75605
Phone (903) 753-1778

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1356710230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058162",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 E MARSHALL AVENUE",
            "address_2": "STE 650",
            "address_purpose": "LOCATION",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75670",
            "country_code": "US",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "BREANN",
        "middle_name": "MCILHENNY",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.