Individual provider Active NPI

Cherise K. Bludau-Branch, MSN, FNP-C

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1528095767
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
572524 Issued in TX
Practice address
2710 Hospital Drive
Suite 304
Victoria, TX 77901-5743
Phone
(361) 574-1782
Fax
(361) 574-1783
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 572524 TX Primary

Addresses

Primary practice location

2710 Hospital Drive
Suite 304
Victoria, TX 77901-5743

Mailing address

2710 Hospital Drive
Suite 304
Victoria, TX 77901-5743
Phone (361) 574-1782

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
I20080722000533 TX Practitioner - Nurse Practitioner 8224101357 Practice locations: Cuero, TX; Yoakum, TX; Victoria, TX; Port Lavaca, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients
Cherise FNP-BC Family PastSince Jan 1, 1990 Accepting new patients
Cuero I Enterprises, LLC Past Accepting new patients

Organizations & group practices 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1528095767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DRIVE",
            "address_2": "SUITE 304",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015743",
            "telephone_number": "361-574-1782",
            "fax_number": "361-574-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DRIVE",
            "address_2": "SUITE 304",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015743",
            "telephone_number": "361-574-1782",
            "fax_number": "361-574-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUDAU-BRANCH",
        "first_name": "CHERISE",
        "middle_name": "K.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "572524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.