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MS. BETTY JEAN BROWN-TRASK PNP-BC FNP-C NPI 1649221169


NPI Information

NPI: 1649221169
Provider Name: MS. BETTY JEAN BROWN-TRASK, PNP-BC, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DALLAS COUNTY HOSPITAL DISTRICT

PECOS Registration: Yes

Address:
3310 LIVE OAK ST
DALLAS, TX
ZIP 75204
Phone: (214) 266-1257
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MS. Betty Jean Brown-trask, PNP-BC, FNP-C is a family nurse practitioner in Dallas, TX with 15 years of experience. MS. Betty Jean Brown-trask, PNP-BC, FNP-C NPI is 1649221169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3310 LIVE OAK ST
DALLAS, TX
ZIP 75204-153
Phone: (214) 266-1257

The NPI 1649221169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 2/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatrics524863TEXASNo
2363LF0000XNurse PractitionerFamilyAP102205TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1108059007MEDICAIDTEXAS
2108059008MEDICAIDTEXAS
3108059003MEDICAIDTEXAS
48Y0761OTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.