Individual provider Active NPI

Luz Adriana Sancen de Brown, RD, LDN

  • Metabolic Nutrition Registered Dietitian
  • Quincy, IL
National Provider Identifier
1073847539
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
164.005141 Issued in IL
Practice address
2009 Elm St
Quincy, IL 62301-3233
Phone
(217) 228-0828
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 164.005141 IL Primary

Addresses

Primary practice location

2009 Elm St
Quincy, IL 62301-3233

Mailing address

2009 Elm St
Quincy, IL 62301-3233
Phone (217) 228-0828

Other names 1

  • Luz Brown Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.005141ILMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1073847539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 ELM ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013233",
            "telephone_number": "217-228-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 ELM ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013233",
            "telephone_number": "217-228-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCEN DE BROWN",
        "first_name": "LUZ",
        "middle_name": "ADRIANA",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "164.005141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "BROWN",
            "credential": "RD, LDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.