Individual provider Active NPI

Brandi Danielle House, FNP

  • Family Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1639486319
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010037297 Issued in MO
Practice address
620 Maple Valley Dr
Farmington, MO 63640-1976
Phone
(573) 454-2466
Fax
(573) 454-2544
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 2010037297 MO Primary

Addresses

Primary practice location

620 Maple Valley Dr
Farmington, MO 63640-1976

Mailing address

620 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 454-2466

Other practice location 1

55 Nesbit Dr
Bonne Terre, MO 63628-1353
Phone (573) 358-1700

Other identifiers 1

IdentifierTypeStateIssuer
2010037297OtherMOFNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20111026000431 MO Practitioner - Nurse Practitioner 7810160488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

618 Maple Valley Dr
Suite a
Farmington, MO 63640-1976
Phone (573) 756-3400

620 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 454-2466

851 E 5TH St
Washington, MO 63090-3130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010037297MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic East Communities Nurse Practitioner Current Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Jul 28, 2018 Accepting new patients
Midwest Health Group Convenient Care, LLC Past Accepting new patients
Doctors on the Go1 L.C PastSince Jul 2, 2017 Accepting new patients

Locations

7245 Raider Rd
Bonne Terre, MO 63628
Phone (573) 358-1400

55 Nesbit Dr
Bonne Terre, MO 63628
Phone (573) 358-1700

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

620 Maple Valley Dr
Farmington, MO 63640
Phone (573) 454-2466

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Organizations & group practices 6

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1639486319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-454-2466",
            "fax_number": "573-454-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-454-2466",
            "fax_number": "573-454-2544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Nesbit Dr",
            "address_purpose": "LOCATION",
            "city": "Bonne Terre",
            "state": "MO",
            "postal_code": "636281353",
            "country_code": "US",
            "telephone_number": "573-358-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "BRANDI",
        "middle_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010037297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "2010037297",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.