Brandi Lynnette Tedder, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-03427 Issued in NM

Practice address

1600 N Main St
Lovington, NM 88260

Phone

(575) 396-6611

Fax

(575) 396-5640

NPI assigned

Jul 26, 2017

Last updated

May 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brandi Lynnette Villarreal Former name

Medicare fee-for-service enrollment

Enrolled in NM

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nor-Lea Hospital DistrictGroup PAC ID 2466364534, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: btedder1266617@oc.providencedirect.org

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.

• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Medicare reassignment Care Compare group NPD
• Nor-Lea Hospital District

  dba Family Health Center of Lea County

  • Rural Health Clinic/Center
  • Hobbs, NM
  • NPI 1528002805
  NPD
• Nor-Lea Hospital District

  dba Lovington Medical Clinic

  • Rural Health Clinic/Center
  • Lovington, NM
  • NPI 1457393829
  NPD (past)

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

• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Care Compare affiliation

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1841714300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MAIN ST",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "88260",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MAIN ST",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "88260",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 N Bryant Blvd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769032861",
            "country_code": "US",
            "telephone_number": "325-481-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 N Dal Paso St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882403023",
            "country_code": "US",
            "telephone_number": "575-433-3000",
            "fax_number": "575-433-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2626 N Bryant Blvd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769032861",
            "country_code": "US",
            "telephone_number": "325-481-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "BRANDI",
        "middle_name": "LYNNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134377",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66806569",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "VILLARREAL",
            "middle_name": "LYNNETTE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Stuparyk, MD
• Terry Alvin Sumpter, C.R.N.A.
• Michael Swiniarski, PT, DPT
• Rickey I Tabor, CNP
• Tiffany Diane Taylor, DC, APC
• Kim H Tekut, APRN-CNP, FNP-BC
• Angela Tharnish, APRN-BC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Lovington)
• Lori P Tobler, M.D.
• Tessa Marie Torres, PA-C

• Family Nurse Practitioner in Lovington, NM
• Providers in Lovington, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.