Individual provider

Brittany Khotmanivong, AGACNP

Acute Care Nurse Practitioner Medicare enrolled

Brittany Khotmanivong, AGACNP is an Acute Care Nurse Practitioner in Fort Sam Houston, TX, registered under NPI 1578031340. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
32563 TN Acute Care Nurse Practitioner primary
APRN-2563 HI Acute Care Nurse Practitioner

Licences are recorded in 2 states: TN, HI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Nurse Practitioner
PAC ID
7214274596
Enrollment ID
I20251113000464

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Hawaii and Tennessee. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

HI Hawaii
Licence
APRN-2563
Specialty
Acute Care Nurse Practitioner
Verify with the HI board →
TN Tennessee
Licence
32563
Specialty
Acute Care Nurse Practitioner
Verify with the TN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Acute Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2100X Acute Care Nurse Practitioner Acute Care 32563 TN primary
363LA2100X Acute Care Nurse Practitioner Acute Care APRN-2563 HI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1578031340 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 8, 2018
Last updatedAug 19, 2024
StatusActive
Sole proprietorYes
CredentialAGACNP
Practice address 3551 ROGER BROOKE DR
Fort Sam Houston, TX 78234
(210) 916-0935
This record was updated on Aug 19, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1578031340 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 7 8 0 3 1 3 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 5 8 0 3 2 3 8

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1578031340?
NPI 1578031340 is the National Provider Identifier assigned to Brittany Khotmanivong, AGACNP in Fort Sam Houston, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Acute Care cover?
Definition to come...
How do I contact Brittany Khotmanivong, AGACNP?
The phone number on file with NPPES is (210) 916-0935, last updated Aug 19, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brittany Khotmanivong, AGACNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1578031340 a valid number?
Yes. 1578031340 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.