Individual provider Active NPI

Breanna Lynette Purdie, FNP-C

  • Family Nurse Practitioner
  • Harker Heights, TX
National Provider Identifier
1982422127
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179377 Issued in TX
Practice address
2117 Grizzly TRL
Harker Heights, TX 76548-5657
Phone
(254) 338-8711
NPI assigned
Sep 27, 2024
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 1179377 TX Primary

Addresses

Primary practice location

2117 Grizzly TRL
Harker Heights, TX 76548-5657

Mailing address

16040 Park Valley Dr # B-100
Round Rock, TX 78681-3578
Phone (512) 218-1222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address breanna.purdie.1@32973.direct.athenahealth.com Direct

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
I20250123000773 TX Practitioner - Nurse Practitioner 9234668005 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1179377TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Neurology Consultants, PA CurrentSince Dec 15, 2024 Accepting new patients

Locations

16040 Park Valley Dr
#B100
Round Rock, TX 78681
Phone (512) 218-1222

16040 Park Valley Dr
Bldg B100
Round Rock, TX 78681
Phone (512) 218-1222

16040 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 218-1222

Interoperability endpoints

  • Direct secure messaging: breanna.purdie.1@32973.direct.athenahealth.com

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, 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": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1982422127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 PARK VALLEY DR # B-100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813578",
            "telephone_number": "512-218-1222",
            "fax_number": "512-218-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 GRIZZLY TRL",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485657",
            "telephone_number": "254-338-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDIE",
        "first_name": "BREANNA",
        "middle_name": "LYNETTE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "breanna.purdie.1@32973.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16040 Park Valley Dr # B-100",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786813578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.