Active NPI
Brittani Rahn de Vu, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1861102733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1099439
- Practice address
- 1617 W Oleander St Ste a
Fort Worth, TX 76104-4024 - Phone
- (817) 923-9788
- Fax
- (817) 921-0070
- NPI assigned
- Dec 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1099439 | TX | Primary |
Addresses
Primary practice location
1617 W Oleander St Ste a
Fort Worth, TX 76104-4024
Mailing address
1617 W Oleander St Ste a
Fort Worth, TX 76104-4024
Phone (817) 923-9788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1099439 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Totalcare Behavioral Health | Current | Accepting new patients |
Locations
1617 W Oleander St
Ste A
Ft Worth, TX 76104
Phone (817) 923-9788
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Fort Worth, TX
- NPI 1073169470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1861102733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 W OLEANDER ST STE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044024",
"telephone_number": "817-923-9788",
"fax_number": "817-921-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 W OLEANDER ST STE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044024",
"telephone_number": "817-923-9788",
"fax_number": "817-921-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHN DE VU",
"first_name": "BRITTANI",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1099439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.