Individual provider Active NPI

Brandy L. Libby, WHNP

  • Women's Health Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1477746758
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP112339 Issued in TX
Practice address
3800 S W S Young Dr Ste 402
Killeen, TX 76542-3374
Phone
(254) 618-4960
Fax
(254) 618-4965
NPI assigned
Aug 21, 2007
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP112339 TX Primary

Addresses

Primary practice location

3800 S W S Young Dr Ste 402
Killeen, TX 76542-3374

Mailing address

1908 N Laurent St Ste 410
Victoria, TX 77901-5469
Phone (361) 572-0333

Other identifiers 1

IdentifierTypeStateIssuer
1908030-04MedicaidTX

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
I20070917000026 TX Practitioner - Nurse Practitioner 9032203427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHP Texas MD Services, IncGroup PAC ID 8527222108, 36 clinicians

Practice addresses (Care Compare)

800 W Central Texas Expy
Suite 255
Harker Heights, TX 76548-1991
Phone (254) 618-1060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LHP Texas MD Services Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

800 W Central Texas Expy
Ste 255
Harker Heights, TX 76548
Phone (254) 618-1040

100 W Central Texas Expy
Ste 210
Killeen, TX 76548

3800 S W S Young Dr
Ste 402
Killeen, TX 76542
Phone (254) 457-3743

Interoperability endpoints

  • Direct secure messaging: blibby264965@ahs.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1477746758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST STE 410",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015469",
            "telephone_number": "361-572-0333",
            "fax_number": "361-371-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S W S YOUNG DR STE 402",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423374",
            "telephone_number": "254-618-4960",
            "fax_number": "254-618-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "BRANDY",
        "middle_name": "L.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP112339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1908030-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.