Active NPI
Tawana Brown
- Contractor
- Surprise, AZ
National Provider Identifier
1053985432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 15632 N 156TH LN
Surprise, AZ 85374-8813 - Phone
- (602) 601-8327
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary | ||
| Transportation Network Company | 342000000X | AZ |
Addresses
Primary practice location
15632 N 156TH LN
Surprise, AZ 85374-8813
Mailing address
5350 W Bell Rd Ste C122
Glendale, AZ 85308-3907
Phone (602) 601-8327
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Support@banawattransport.com | Health Information Exchange (HIE) |
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": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1053985432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 W BELL RD STE C122",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083907",
"telephone_number": "602-601-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15632 N 156TH LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748813",
"telephone_number": "602-601-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TAWANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Support@banawattransport.com",
"affiliation": "N",
"endpointDescription": "Support@banawattransport.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15632 N 156th Ln",
"city": "Surprise",
"state": "AZ",
"country_code": "US",
"postal_code": "853748813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.