Caleb Brown

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

041465387 Issued in IL

Practice address

912 N Main St Apt 10
Edwardsville, IL 62025-1161

Phone

(217) 460-0033

NPI assigned

Apr 24, 2021

Last updated

Apr 24, 2021By the provider in NPPES

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

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": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1063094530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N MAIN ST APT 10",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251161",
            "telephone_number": "217-460-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N MAIN ST APT 10",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251161",
            "telephone_number": "217-460-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-24",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041465387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey Breckner, D.M.D., M.S.
• Carl David Brickman, DDS MS
• Rebecca Bristow, PHARM.D.
• Abigail Kirstie Brohammer
• Abbey Brooks
• Ellie Brown
• Miah Brown
• Montana Sky Brown, L.C.P.C.
• Nathan Brown
• Demarco Shontez Brownlee

• Psychiatric/Mental Health Registered Nurse in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.