Active NPI
Roseadra Christine Davis Brown
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1053806265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 647 Albany Ave Apt 4E
Brooklyn, NY 11203-1723 - Phone
- (914) 374-4602
- NPI assigned
- Jun 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
647 Albany Ave Apt 4E
Brooklyn, NY 11203-1723
Mailing address
647 Albany Ave Apt 4E
Brooklyn, NY 11203-1723
Phone (914) 374-4602
Other practice location 1
535 Flushing Ave
Brooklyn, NY 11205-1610
Phone (929) 800-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1053806265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 ALBANY AVE APT 4E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031723",
"telephone_number": "914-374-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 ALBANY AVE APT 4E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031723",
"telephone_number": "914-374-4602"
}
],
"practiceLocations": [
{
"address_1": "535 Flushing Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112051610",
"country_code": "US",
"telephone_number": "929-800-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS BROWN",
"first_name": "ROSEADRA",
"middle_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.