Brandy Lake, FNP-C

ActiveIndividual ProviderNurse Practitioner
NPI issued: April 24, 2026

Quick Facts

NPI Number
1790621787
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LA2100X — Nurse Practitioner
Phone
(660) 886-7431
StateMO

NPI Validation Status: Verified

Valid 10-digit NPI number (1790621787)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (April 24, 2026)
Data source: CMS NPPES

Provider Overview

BRANDY LAKE, FNP-C is a Nurse Practitioner provider based in Marshall, MO who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790621787
Provider TypeIndividual Provider
GenderFemale
CredentialFNP-C
StatusActive
Enumeration DateApril 24, 2026

Practice Location

CityMarshall
StateMO
ZIP Code65340-3702
Phone(660) 886-7431

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LA2100X
License StateMO

Mailing Address

CityMarshall
StateMO
ZIP Code65340-3702
Phone(660) 886-7431
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790621787 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790621787for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790621787 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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25,422
Nurse Practitioner Providers in the US

Similar Providers in Marshall

No similar providers found in Marshall.

Other Healthcare Providers in Marshall

Brenda Dodds, RN, FNP-C, FNP

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Saline County Ambulance District No 3

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Louis Chmura, D.D.S., M.S

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Hot Springs Health Program, Inc.

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John Fitzgibbon Memorial Hospital Inc.

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People Also Ask

What is Brandy Lake's NPI number?
Brandy Lake's NPI number is 1790621787, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Brandy Lake's NPI currently active?
Yes, Brandy Lake's NPI status is Active as of the latest CMS NPPES database updates.
What does Brandy Lake specialize in?
Brandy Lake specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LA2100X.
Where does Brandy Lake practice?
Brandy Lake practices in Marshall, MO 65340-3702.
When was Brandy Lake's NPI issued?
Brandy Lake's NPI was issued on April 24, 2026.
What is Brandy Lake's provider type?
Brandy Lake is registered as an Individual Provider under CMS NPI Type 1.