Kimberly Anne Brandt, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200150075NP Issued in OR

Practice address

10362 SW McDonald St
Tigard, OR 97224-4863

Phone

(503) 624-0312

Fax

(503) 639-3973

NPI assigned

Aug 15, 2006

Last updated

Mar 7, 2023By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851304281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 SW MCDONALD ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244863",
            "telephone_number": "503-624-0312",
            "fax_number": "503-639-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10362 SW MCDONALD ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244863",
            "telephone_number": "503-624-0312",
            "fax_number": "503-639-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200150075NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC #",
            "identifier": "200150075NP",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292159",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Braga, PT, DPT
• Brain Rehab Network Oregon, Inc.
• Victoria Branch
• Brandon Schwindt DMD PC
• Jessica Brandt, MSN, APRN, PMHNP-BC
• Kylee Jaye Brandt, MA, NCC, LPC
• Zeyla A Brandt, PT
• Marie Brandyberry Corey
• Christopher Thomas Brannan
• Whitney Taylor Braun

• Family Nurse Practitioner in Tigard, OR
• Providers in Tigard, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.