Individual provider Active NPI

Sanchez Brown, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1003383779
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R153998 Issued in MD
Practice address
5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263
Phone
(410) 689-7400
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 R153998 MD Primary

Addresses

Primary practice location

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263

Mailing address

630 S Exeter St
Baltimore, MD 21202-4316
Phone (410) 962-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190712001727 MD Practitioner - Nurse Practitioner 7618202698 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management, LLC CurrentSince May 19, 2019 Accepting new patients
Seasons Medical Group of Maryland PC CurrentSince Oct 26, 2024 Accepting new patients

Locations

5457 Twin Knolls Rd
Ste 100
Columbia, MD 21045
Phone (410) 689-7400

331 Oak Manor Dr
Ste 102
Glen Burnie, MD 21061
Phone (410) 266-2711

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

3460 Old Washington Rd
Ste 300
Waldorf, MD 20602
Phone (301) 645-1523

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1003383779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S EXETER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024316",
            "telephone_number": "410-962-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453263",
            "telephone_number": "410-689-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SANCHEZ",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R153998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.