Individual provider Active NPI

Cathleen O'Neal Brazile, RN, FNP, BC

  • Family Nurse Practitioner
  • Belgrade, ME
National Provider Identifier
1679680474
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP161185 Issued in ME
Practice address
4 Clement Way
Belgrade, ME 04917-4370
Phone
(207) 495-3323
Fax
(207) 495-3353
NPI assigned
Aug 25, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 CNP161185 ME Primary

Addresses

Primary practice location

4 Clement Way
Belgrade, ME 04917-4370

Mailing address

4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 495-3323

Other identifiers 7

IdentifierTypeStateIssuer
6849190161OtherDOT MEDICAL EXAMINER NUMBER
APN RXOtherTX5563
6770-33OtherWIWISCONSIN APRN LICENSE
TX114678OtherTEXAS APRN NUMBER
00193081OtherTXDPS
649921OtherTXBOARD OF NURSING
F0406060OtherAMERICAN ACADEMY OF N P'S

Other names 1

  • Linda Cathleen Brazile Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, MN, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080602000407 TX Practitioner - Nurse Practitioner 3779653886 Reassigns benefits to 2 organizations
I20160201000275 WI Practitioner - Nurse Practitioner 3779653886 Reassigns benefits to 4 organizations
I20160322001883 MN Practitioner - Nurse Practitioner 3779653886 Reassigns benefits to 1 organization
I20230419002373 CA Practitioner - Nurse Practitioner 3779653886 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince May 4, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 16, 2018 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Apr 1, 2023 Accepting new patients
Bellin Memorial Hospital, Inc CurrentSince May 4, 2018 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 15, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 16, 2018 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Physician Senior Services, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Physician Psych Services PLLC CurrentSince Jul 21, 2026 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 16, 2018 Accepting new patients
Beaver Dam Community Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 15, 2021 Accepting new patients
Whiteglove Medical Care - NJ, PC Past Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

860 Airport Fwy
Ste 525
Hurst, TX 76054
Phone (817) 522-1530

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: cathleen.brazile@731444467007492.direct.elationemr.com
  • Direct secure messaging: cathleen.brazile@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679680474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CLEMENT WAY",
            "city": "BELGRADE",
            "state": "ME",
            "postal_code": "049174370",
            "telephone_number": "207-495-3323",
            "fax_number": "207-495-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CLEMENT WAY",
            "city": "BELGRADE",
            "state": "ME",
            "postal_code": "049174370",
            "telephone_number": "207-495-3323",
            "fax_number": "207-495-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZILE",
        "first_name": "CATHLEEN",
        "middle_name": "O'NEAL",
        "credential": "RN, FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP161185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOT MEDICAL EXAMINER NUMBER",
            "identifier": "6849190161",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5563",
            "identifier": "APN RX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN APRN LICENSE",
            "identifier": "6770-33",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS APRN NUMBER",
            "identifier": "TX114678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "00193081",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "649921",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF N P'S",
            "identifier": "F0406060",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BRAZILE",
            "middle_name": "CATHLEEN",
            "credential": "RN, FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belgrade, ME

Sources for this page

Verify at the official NPI Registry.