Individual provider Active NPI

Fehren Brandi Juarez, FNP

  • Family Nurse Practitioner
  • Kyle, TX
National Provider Identifier
1881358265
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057354 Issued in TX
Practice address
4210 Benner
Kyle, TX 78640-2230
Phone
(512) 298-1645
Fax
(512) 298-1795
NPI assigned
Oct 22, 2021
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1057354 TX Primary

Addresses

Primary practice location

4210 Benner
Kyle, TX 78640-2230

Mailing address

4210 Benner
Kyle, TX 78640-2230
Phone (512) 298-1645

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230511001469 TX Practitioner - Nurse Practitioner 8325404635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1057354TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alan D Silberberg MD PA CurrentSince Apr 1, 2023 Accepting new patients
Alan D Silberberg MD PA CurrentSince Apr 1, 2023 Accepting new patients

Locations

5625 Eiger Rd
Ste 160
Austin, TX 78735
Phone (281) 362-0006

5920 W William Cannon Dr
Ste 150
Austin, TX 78749
Phone (512) 441-9799

4210 Benner
Kyle, TX 78640
Phone (512) 298-1645

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1881358265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 BENNER",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402230",
            "telephone_number": "512-298-1645",
            "fax_number": "512-298-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 BENNER",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402230",
            "telephone_number": "512-298-1645",
            "fax_number": "512-298-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "FEHREN",
        "middle_name": "BRANDI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.