Individual provider Active NPI

Brittany Vanzandt

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1700413994
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145704 Issued in TX
Practice address
5615 Deauville Ste 220
Midland, TX 79706-2707
Phone
(432) 686-0321
NPI assigned
Mar 26, 2020
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 AP145704 TX Primary

Addresses

Primary practice location

5615 Deauville Ste 220
Midland, TX 79706-2707

Mailing address

5615 Deauville Ste 220
Midland, TX 79706-2707
Phone (432) 221-5560

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittany.vanzandt.1@9925.direct.athenahealth.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
I20200512002572 TX Practitioner - Nurse Practitioner 9739510579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 N Main St
Suite G 1
Andrews, TX 79714-4026
Phone (432) 704-5661

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Texas Orthopedic Group Inc CurrentSince Feb 6, 2020 Accepting new patients
Mazzy Medical CurrentSince Jun 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Feb 6, 2020 Accepting new patients
West Texas Orthopedics LLP Past Accepting new patients

Locations

801 N Main St
Ste G1
Andrews, TX 79714
Phone (432) 704-5661

10 Desta Dr
Ste 100E
Midland, TX 79705
Phone (432) 686-0321

5615 Deauville
Ste 220
Midland, TX 79706
Phone (432) 221-4004

Organizations & group practices 4

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700413994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062707",
            "telephone_number": "432-221-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062707",
            "telephone_number": "432-686-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANZANDT",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany.vanzandt.1@9925.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5615 Deauville Ste 220",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797062707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.