Active NPI
Shewanna A. Brown, FNP-BC
- Family Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1104078203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2008007199
- Practice address
- 1020 N 12TH St
Milwaukee, WI 53233-1308 - Phone
- (414) 277-8900
- Fax
- (414) 765-0867
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2008007199 | WI | Primary |
Addresses
Primary practice location
1020 N 12TH St
Milwaukee, WI 53233-1308
Mailing address
5010 Biscayne Ave
1
Racine, WI 53406-5561
Phone (262) 497-6548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104078203 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2008007199 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1104078203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 BISCAYNE AVE",
"address_2": "1",
"city": "RACINE",
"state": "WI",
"postal_code": "534065561",
"telephone_number": "262-497-6548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 N 12TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532331308",
"telephone_number": "414-277-8900",
"fax_number": "414-765-0867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHEWANNA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "2008007199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104078203",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.