Brenda Kaye Harrison, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP116393 Issued in TX

Practice address

4506 Briarwood Ave
Midland, TX 79707-2642

Phone

(432) 689-6818

Fax

(432) 689-6901

NPI assigned

Apr 4, 2008

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 1

Other names 1

• Mrs. Brenda Kaye Gray Former name

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.

• San Angelo Emergency Physicians

  • Emergency Medicine Physician
  • San Angelo, TX
  • NPI 1134177975
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1740453299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 FAIRHAVEN CT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797074321",
            "telephone_number": "432-260-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 BRIARWOOD AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072642",
            "telephone_number": "432-689-6818",
            "fax_number": "432-689-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BRENDA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP116393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "547131",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "GRAY",
            "middle_name": "KAYE",
            "prefix": "MRS.",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Ratcliff Harrington, CNM, WHNP
• Amber Lee Harris, LCSW
• Julie Ann Harris, MA, BCN, LPC
• Melanie Wanae Harris, COTA
• Payton Eliot Harris, MD
• Harshad G Shah MD PA Eye Institute
• Gregory W. Harter, PH.D.
• Allison Hope Hartzoge, MA, BCN, LPC
• Muhammad Haseeb Ul Rasool, MD
• Sydney Hatchel

• Family Nurse Practitioner in Midland, TX
• Providers in Midland, 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 May 27, 2016; 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.