Individual provider Active NPI

Courtney Kaye Brandt

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1720580459
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135240 Issued in TX
Practice address
3600 Communications Pkwy Ste 675
Plano, TX 75093-8162
Phone
(972) 473-7544
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 AP135240 TX Primary

Addresses

Primary practice location

3600 Communications Pkwy Ste 675
Plano, TX 75093-8162

Mailing address

3140 Breton St
Robinson, TX 76706-7470

Other names 1

  • Courtney McIntire Former name

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
I20181023002273 TX Practitioner - Nurse Practitioner 4981957800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

113 E State Hwy 121
Suite 110
Coppell, TX 75019-7804
Phone (469) 946-6577

11317 N Central Expy
Suite 100
Dallas, TX 75243-6703
Phone (972) 408-2777

1922 Dry Creek Way
Suite 134
San Antonio, TX 78259-3345
Phone (210) 485-3700

200 N Mesquite St
Suite 115
Arlington, TX 76011-7560
Phone (817) 200-2530

4709 W Parker Rd
Suite 500
Plano, TX 75093-3382
Phone (469) 974-0565

7560 Glenview Dr
Suite 110
Richland Hills, TX 76180-8374
Phone (817) 824-2700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince May 28, 2019 Accepting new patients
Innovative Infusions, LLC CurrentSince May 28, 2019 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

17111 Preston Rd
Ste 100
Dallas, TX 75248
Phone (866) 588-1072

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

1650 W Rosedale St
Ste 220
Fort Worth, TX 76104
Phone (682) 312-4038

7560 Glenview Dr
Ste 110
Richland Hills, TX 76180
Phone (817) 284-2700

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1720580459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 BRETON ST",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767067470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 COMMUNICATIONS PKWY STE 675",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938162",
            "telephone_number": "972-473-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "COURTNEY",
        "middle_name": "KAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MCINTIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.