Individual provider Active NPI

Brandy Michelle Valentino, CNM

  • Advanced Practice Midwife
  • Dallas, TX
National Provider Identifier
1407235609
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP128155 Issued in TX
Practice address
3450 W Wheatland Rd Ste 440
Dallas, TX 75237-4417
Phone
(972) 298-4300
Fax
(972) 298-8903
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN11034018 FL
Women's Health Nurse Practitioner 363LW0102X B181426 IA
Women's Health Nurse Practitioner 363LW0102X 4024788 KY
Women's Health Nurse Practitioner 363LW0102X 238231 LA
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.0036918 OH
Women's Health Nurse Practitioner 363LW0102X 219861 OK
Advanced Practice Midwife 367A00000X 53-83575-092 KS
Advanced Practice Midwife 367A00000X AP128155 TX Primary

Addresses

Primary practice location

3450 W Wheatland Rd Ste 440
Dallas, TX 75237-4417

Mailing address

3450 W Wheatland Rd Ste 440
Dallas, TX 75237-4417
Phone (972) 298-4300

Other names 1

  • Brandy Michelle Kilgore Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930001706 TX Practitioner - Certified Nurse Midwife (CNM) 8325356074 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11034018FLMDWomen's Health Nurse Practitioner
B181426IAMDWomen's Health Nurse Practitioner
4024788KYMDWomen's Health Nurse Practitioner
238231LAMDWomen's Health Nurse Practitioner
APRN.CNP.0036918OHMDWomen's Health Nurse Practitioner
219861OKMDWomen's Health Nurse Practitioner
53-83575-092KSMDAdvanced Practice Midwife
AP128155TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Apr 1, 2024 Accepting new patients
Medhealth CurrentSince Apr 1, 2024 Accepting new patients
F. Thomas Dean, M. D. PastSince Apr 17, 2017 Accepting new patients
Macarthur Medical Center, PLLC Women'S Health PastSince Oct 20, 2019 Accepting new patients

Locations

3450 W Wheatland Rd
Ste 440
Dallas, TX 75237
Phone (972) 224-1122

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

Interoperability endpoints

  • Direct secure messaging: bvalentino85743@dm.mhd.com
  • Direct secure messaging: brandy.valentino@tx123.digichart.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1407235609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374417",
            "telephone_number": "972-298-4300",
            "fax_number": "972-298-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374417",
            "telephone_number": "972-298-4300",
            "fax_number": "972-298-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINO",
        "first_name": "BRANDY",
        "middle_name": "MICHELLE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11034018",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "B181426",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "4024788",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "238231",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.0036918",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OK",
            "license": "219861",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "53-83575-092",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP128155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "KILGORE",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.