Bethany Ann Brown, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11034767 Issued in FL

Practice address

100 Whetstone PL
Saint Augustine, FL 32086-5774

Phone

(904) 746-1095

NPI assigned

Jan 29, 2025

Sex

Female

Sole proprietor

Yes

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 FL

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bethany.brown.1@31553.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dover Shores Family Practice

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1417683707

  Single Specialty

  Medicare reassignment NPD
• Primary Care Specialists of Orlando LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1740559939

  Single Specialty

  NPD
• Traditions Family Medicine, LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1548924236

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1083427447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 WINDERMERE WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320957562",
            "telephone_number": "772-349-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865774",
            "telephone_number": "904-746-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11034767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Brooks
• Dallas Brooks, RBT
• Dayzha Brooks
• Penny Ruth Brooks, FNP-BC
• Orville A Broomfield, CRNFA
• Brandon Brown, P.T.
• Comelia J Brown, RN
• Jacqueline B. Brown, PH.D.
• Joshua Jay Brown, RPH
• Kimberlee Timbrook Brown, M.D.

• Nurse Practitioner in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.