Individual provider Active NPI

Brandi Carmical, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1477065803
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3011847 Issued in KY
Practice address
279 E Main St
Hazard, KY 41701-1973
Phone
(606) 487-9505
Fax
(606) 436-0071
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011847 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3011847 KY Primary

Addresses

Primary practice location

279 E Main St
Hazard, KY 41701-1973

Mailing address

279 E Main St
Hazard, KY 41701-1973
Phone (606) 487-9505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171108000188 KY Practitioner - Nurse Practitioner 1850657867 Reassigns benefits to 3 organizations
I20241212002919 TN Practitioner - Nurse Practitioner 1850657867 Reassigns benefits to 2 organizations
I20250203001487 AR Practitioner - Nurse Practitioner 1850657867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, shared by 46 NPIs, 213 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians

Practice addresses (Care Compare)

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jan 30, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Oct 8, 2024 Accepting new patients
Brock Medical, LLC CurrentSince Dec 29, 2019 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Dec 29, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 8, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 8, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jan 30, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

1020 Highway 62 E
Mountain Home, AR 72653
Phone (870) 337-2171

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Interoperability endpoints

  • Direct secure messaging: brandi.carmical.p1@direct.mtncomp.nextgenshare.com

Organizations & group practices 10

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1477065803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 E MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011973",
            "telephone_number": "606-487-9505",
            "fax_number": "606-436-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011973",
            "telephone_number": "606-487-9505",
            "fax_number": "606-436-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICAL",
        "first_name": "BRANDI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011847",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3011847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.