Brandy Michelle Bengoa, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN89032 Issued in NV

Practice address

825 N 2ND Street
Battle Mountain, NV 89820

Phone

(775) 635-2386

Fax

(775) 635-9203

NPI assigned

Jul 25, 2019

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 names 1

• Ms. Brandy Michelle Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• County of Lander

  • Community Health Clinic/Center
  • Battle Mountain, NV
  • NPI 1447743703
  NPD
• County of Lander

  • Land Ambulance
  • Battle Mountain, NV
  • NPI 1649497694
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1982258281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STATE ROUTE 305",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "89820",
            "telephone_number": "775-635-2386",
            "fax_number": "775-635-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 2ND STREET",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "89820",
            "telephone_number": "775-635-2386",
            "fax_number": "775-635-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGOA",
        "first_name": "BRANDY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN89032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "JOHNSON",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Battle Mountain General Hospital
• Battle Mountain General Hospital
• Battle Mountain General Hospital
• Battle Mountain General Hospital
• Bengoa Physical Therapy LLC
• Mary Catherine Bengoa, PT, MS
• David A Birnbaum, M.D.
• Tina Marie Bisiaux, LADC, LADC-S
• Dana Blanc
• Abby Jessica Burkhart, RN

• Registered Nurse in Battle Mountain, NV
• Providers in Battle Mountain, NV by specialty
• Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.