Individual provider Active NPI

Brandi L Depalma, CNS

  • Adult Health Clinical Nurse Specialist
  • San Angelo, TX
National Provider Identifier
1881602514
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
652573 Issued in TX
Practice address
3016 Vista del Arroyo Dr
San Angelo, TX 76904-6146
Phone
(325) 949-9408
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 652573 TX Primary

Addresses

Primary practice location

3016 Vista del Arroyo Dr
San Angelo, TX 76904-6146

Mailing address

PO Box 1879
San Angelo, TX 76902-1879
Phone (325) 949-9408

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
652573TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic Past Accepting new patients
Shannon Clinic Past Accepting new patients
Shannon Clinic Past Accepting new patients
John D. Hunt, M.D. Past Accepting new patients
Texas Oxycare, Inc. PastSince Aug 1, 2001 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881602514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1879",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769021879",
            "telephone_number": "325-949-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 VISTA DEL ARROYO DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046146",
            "telephone_number": "325-949-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALMA",
        "first_name": "BRANDI",
        "middle_name": "L",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "652573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.