Robert Irwin Brown III, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NC60948068 Issued in WA

Practice address

307 W Cota St
Shelton, WA 98584-2265

Phone

(503) 348-3767

NPI assigned

Dec 12, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1013555804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SATSOP-CLOQUALLUM RD",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "98541",
            "telephone_number": "360-470-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W COTA ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842265",
            "telephone_number": "503-348-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "IRWIN",
        "name_suffix": "III",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NC60948068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "WDL2SNPDG93B",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Herschel Bowers, DDS
• Sheryl Lynn Bragg, CP 60116516
• Weston Joseph Broussard II
• Georgian Elzina Brown, M.S., L.AC.
• Julie Ann Brown
• Charlene P. Bruley, LICSW
• Amy Brumbaugh, ARNP
• Rettai D Bruni, CERTIFIED COUNSELOR
• Damian Jarrod Buchanan
• Lindsay Nicole Buell

• Nurse's Aide in Shelton, WA
• Providers in Shelton, WA by specialty
• Nurse's Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.