Individual provider Active NPI

Brandi Nicole Kanj, NP

  • Primary Care Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1568948909
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP145167 Issued in TX
Practice address
26866 Treasures Ridge Dr
Kingwood, TX 77339-6500
Phone
(913) 206-0796
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 78016 KS
Primary Care Nurse Practitioner 363LP2300X AP145167 TX Primary

Addresses

Primary practice location

26866 Treasures Ridge Dr
Kingwood, TX 77339-6500

Mailing address

26866 Treasures Ridge Dr
Kingwood, TX 77339-6500
Phone (913) 206-0796

Other practice location 1

5701 State Ave
Kansas City, KS 66102-1236
Phone (913) 287-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nzinchak@gmail.com Direct

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
I20220412000645 TX Practitioner - Nurse Practitioner 7315299948 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78016KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Specialists of Texas, PLLC CurrentSince Mar 22, 2022 Accepting new patients

Locations

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

8845 Six Pines Dr
Ste 100
Shenandoah, TX 77380
Phone (281) 203-5115

6700 Woodlands Pkwy
Ste 230151
The Woodlands, TX 77382

Interoperability endpoints

  • Direct secure messaging: bkanj91734@memorialhermann.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1568948909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26866 TREASURES RIDGE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396500",
            "telephone_number": "913-206-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26866 TREASURES RIDGE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396500",
            "telephone_number": "913-206-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 State Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661021236",
            "country_code": "US",
            "telephone_number": "913-287-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANJ",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "78016",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP145167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nzinchak@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26866 Treasures Ridge Dr",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773396500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.