Sophia Brown-Buchanan

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F30919201 Issued in NY

Practice address

17447 129TH Ave
Jamaica, NY 11434-5831

Phone

(646) 327-4719

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1053929364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17447 129TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345831",
            "telephone_number": "646-327-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17447 129TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345831",
            "telephone_number": "646-327-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BUCHANAN",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F30919201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Select Physician
• Natalie Brooks Wilson, LCSW
• Carol Brooks, LCSW
• Kim Monique Brooks, LPN
• Brothers Drug Corp (Variety Drugs)
• Nishon Brown-Clarke
• Shirley Brown-Fernandez, SPECIAL ED. TEACHER
• Terryann Alicia Brown-Pollard, R,N.
• Amanda Brown
• Audry Brown

• Adult Health Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.