Patrick Timothy Brown
Individual provider Active NPI Nurse's Aide · Rockwood, TN
NPI 1063239077 · NPPES record last updated Sep 21, 2024
Key facts
- NPI
- 1063239077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 00223200 (TN)
- Practice address
- 923 N Front St
Rockwood, TN 37854-3314 - Phone
- (865) 851-4134
- NPI assigned
- Sep 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00223200 | TN | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | 00223200 | TN | Yes |
Addresses
Primary practice location
923 N Front St
Rockwood, TN 37854-3314
Mailing address
923 N Front St
Rockwood, TN 37854-3314
Other providers in Rockwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.