Kathryn E Brannan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP120945 Issued in TX

Practice address

3502 Richmond Rd
Texarkana, TX 75503-0705

Phone

(903) 614-5270

NPI assigned

Oct 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Longview, TX, CCN 679079
• Encompass Health Home Health Home health agency, Texarkana, AR, CCN 047168
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbrannan232963@christushealth.direct-ci.net

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• C H Wilkinson Physician Network

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947
  Medicare reassignment
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahm Action Home Health, LP

  • Home Health Agency
  • Longview, TX
  • NPI 1609934470
  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Ahm Action Home Health, LP

  • Home Health Agency
  • Texarkana, AR
  • NPI 1780076208
  Care Compare affiliation

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1720364334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 JEFFERSON AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541509",
            "telephone_number": "903-614-5270",
            "fax_number": "903-614-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030705",
            "telephone_number": "903-614-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Hope",
            "state": "AR",
            "postal_code": "718018217",
            "country_code": "US",
            "telephone_number": "870-777-8975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4077 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "71854",
            "country_code": "US",
            "telephone_number": "903-614-5270",
            "fax_number": "903-614-5279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 James Bowie Dr",
            "address_purpose": "LOCATION",
            "city": "New Boston",
            "state": "TX",
            "postal_code": "755702335",
            "country_code": "US",
            "telephone_number": "903-614-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP120945",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03616",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1G1888",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200609950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Boyd, OT
• Kassandra Bracamontes
• Brad R. Aaron
• Stephanie Bradley, FNP-C
• Alyssa La'Page Bragg, PT, DPT
• Jamie Brantley, FNP
• Terry Vincent Braswell, D.D.S.
• Rudy Maeda Braza, M.D.
• Brent Bultemeier PA
• Forestt Bridges

• Family Nurse Practitioner in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.