Individual provider Active NPI

Caitlin Jo Branham, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1487167979
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP137425 Issued in TX
Practice address
107 W 20TH St
Mount Pleasant, TX 75455
Phone
(903) 575-8245
Fax
(903) 575-8245
NPI assigned
Nov 7, 2017
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0000886-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP137425 TX Primary
Registered Nurse 163W00000X 790462 TX

Addresses

Primary practice location

107 W 20TH St
Mount Pleasant, TX 75455

Mailing address

PO Box 368
Winnsboro, TX 75494-0368
Phone (903) 575-8245

Other practice location 1

515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 241-6023

Other names 1

  • Caitlin Jo Jones 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329002047 TX Practitioner - Nurse Practitioner 7517225840 Practice locations: Mount Pleasant, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 W 20TH St
Mount Pleasant, TX 75455-2323
Phone (903) 575-8245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
790462TXMDRegistered Nurse
C-APN.0000886-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
AP137425TXMDPsychiatric/Mental Health Nurse Practitioner

Hospital & facility affiliations 2

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1487167979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754940368",
            "telephone_number": "903-575-8245",
            "fax_number": "903-572-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 20TH ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "75455",
            "telephone_number": "903-575-8245",
            "fax_number": "903-575-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 28 3/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815015016",
            "country_code": "US",
            "telephone_number": "970-241-6023",
            "fax_number": "970-683-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "CAITLIN",
        "middle_name": "JO",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0000886-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP137425",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "790462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "JONES",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.