Active NPI
Monica Renee Bravo, NP
- Family Nurse Practitioner
- Burleson, TX
National Provider Identifier
1639673494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP136635
- Practice address
- 224 Diamond Rose Dr
Burleson, TX 76028-0817 - Phone
- (817) 319-9877
- NPI assigned
- Mar 19, 2018
- Last updated
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP136635 | TX | Primary |
Addresses
Primary practice location
224 Diamond Rose Dr
Burleson, TX 76028-0817
Mailing address
224 Diamond Rose Dr
Burleson, TX 76028-0817
Phone (817) 319-9877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1639673494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 DIAMOND ROSE DR",
"city": "BURLESON",
"state": "TX",
"postal_code": "760280817",
"telephone_number": "817-319-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 DIAMOND ROSE DR",
"city": "BURLESON",
"state": "TX",
"postal_code": "760280817",
"telephone_number": "817-319-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVO",
"first_name": "MONICA",
"middle_name": "RENEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP136635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.