Brandi C Malone, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F0811448 Issued in TX

Practice address

4293 Kinsey Dr
Tyler, TX 75703-1004

Phone

(903) 592-5670

Fax

(888) 960-2797

NPI assigned

Sep 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Liberty County Hospital District No. 1

  • Skilled Nursing Facility
  • Jacksonville, TX
  • NPI 1114985900
  NPD (past)
• Vericare, P.C.

  • Clinical Psychologist
  • Texas City, TX
  • NPI 1235187451
  NPD (past)
• WCG Arbor Place Assisted Living, LLC

  • Assisted Living Facility
  • Henderson, TX
  • NPI 1962635334
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1679855308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17604 E LAKE ESTATES DR",
            "city": "ARP",
            "state": "TX",
            "postal_code": "757509688",
            "telephone_number": "903-920-9831",
            "fax_number": "903-747-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4293 KINSEY DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031004",
            "telephone_number": "903-592-5670",
            "fax_number": "888-960-2797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17604 E Lake Estates Dr",
            "address_purpose": "LOCATION",
            "city": "Arp",
            "state": "TX",
            "postal_code": "757509688",
            "country_code": "US",
            "telephone_number": "903-920-9831",
            "fax_number": "903-747-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "BRANDI",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F0811448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2930422",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING NP LICENSE",
            "identifier": "738639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F0811448",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "AP120947",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KAREO",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant EMR/Messaging",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMR/Messaging",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4293 Kinsey Dr",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757031004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory Mallett
• Allie Mallory
• Linka Suzanne Malmin
• Nicole Malo
• Malone Capital, Inc.
• Brandi Michele Malone, ACAGNP
• Erik Malone, D.C.
• Shane Malone, REPT, CNIM
• Tessara Malone, SLP-CFY
• Tyeisha Malone

• Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.