Active NPI
Laura Katerine Brunjes-Antonetti, FNP
- Family Nurse Practitioner
- Plano, TX
National Provider Identifier
1396003224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 589294
- Practice address
- 6020 W Plano Pkwy
Plano, TX 75093-4640 - Phone
- (469) 429-7558
- NPI assigned
- Apr 28, 2012
- Last updated
- Apr 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 589294 | TX | Primary |
Addresses
Primary practice location
6020 W Plano Pkwy
Plano, TX 75093-4640
Mailing address
6020 W Plano Pkwy
Plano, TX 75093-4640
Phone (469) 429-7558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589294 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1396003224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 W PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934640",
"telephone_number": "469-429-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934640",
"telephone_number": "469-429-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNJES-ANTONETTI",
"first_name": "LAURA",
"middle_name": "KATERINE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-28",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "589294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.