Brandi L Rotello, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9282947 Issued in FL

Practice address

879 Usery Rd
Chipley, FL 32428-9303

Phone

(850) 638-4654

Fax

(850) 638-0918

NPI assigned

Jul 2, 2018

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

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• SHC Medical Partners of Florida, LLC

  dba Abode Care Partners

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1861677064
  Medicare reassignment NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1477049591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7364",
            "fax_number": "502-568-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 USERY RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324289303",
            "telephone_number": "850-638-4654",
            "fax_number": "850-638-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTELLO",
        "first_name": "BRANDI",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9282947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers-Southeast, LP. (Chipley Dialysis)
• Restore Therapy and Wellness, Inc. (Coastal Fitness & Rehablilitation Center)
• Carla S Rhynes-Campbell, RCSWI
• Robert W Snare MD PA (Robert W Snare MD)
• Kevin Michael Rollins, APRN
• Faith Rudd, BSN, RN, NC-BC
• Anita Karen Runyan
• Glynn Stephenson Seay, C.R.N.A.
• Teresa Lynn Seay, ARNP
• Yachira Marie Segarra, LPN

• Family Nurse Practitioner in Chipley, FL
• Providers in Chipley, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.