Brittany Lauren Underwood Ellenburg

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5007905 Issued in NC

Practice address

262 Leroy George Dr
Clyde, NC 28721-7430

Phone

(828) 734-8969

Fax

(828) 452-8318

NPI assigned

Aug 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Western Carolina Physician Practices LLCGroup PAC ID 9032338975, 177 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641
  Medicare reassignment Care Compare group NPD
• DLP Haywood Regional Medical Center LLC

  • Emergency Medicine Physician
  • Clyde, NC
  • NPI 1336542067
  Medicare reassignment NPD
• DLP Haywood Regional Medical Center LLC

  • Psychiatric Hospital Unit
  • Clyde, NC
  • NPI 1568618379
  NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• Haywood Women'S Medical Center, PA

  • Obstetrics & Gynecology Physician
  • Clyde, NC
  • NPI 1578549192
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1730556705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 LEROY GEORGE DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217430",
            "telephone_number": "828-452-8873",
            "fax_number": "828-452-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 LEROY GEORGE DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217430",
            "telephone_number": "828-734-8969",
            "fax_number": "828-452-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBURG",
        "first_name": "BRITTANY",
        "middle_name": "LAUREN UNDERWOOD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730556705",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Yanik Dula, DO
• Earl Enterprises Inc
• Earl Enterprises Inc
• Earl Enterprises Inc.
• Heather Edwards, PT
• Envision Pain Management PLLC
• Jane Finneran, PT
• Philip Ray Fisher, DMD, PLLC
• Fletcher Hospital Inc
• Franklin Richard Lang,MD

• Family Nurse Practitioner in Clyde, NC
• Providers in Clyde, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.