Individual provider Active NPI

Brandy Lane Brown, APN, GNP-BC

  • Gerontology Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1104080126
Registry record updated Jul 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
7818 Issued in TN
Practice address
2323 21St Ave S
Suite #306
Nashville, TN 37212-4930
Phone
(615) 673-6737
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X A810274 MS
Gerontology Nurse Practitioner 363LG0600X 7818 TN Primary

Addresses

Primary practice location

2323 21St Ave S
Suite #306
Nashville, TN 37212-4930

Mailing address

2323 21St Ave S
Suite #306
Nashville, TN 37212-4930
Phone (615) 673-6737

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7818TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Corinth Family Care Center PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341360000000",
    "number": "1104080126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 21ST AVE S",
            "address_2": "SUITE #306",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124930",
            "telephone_number": "615-673-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 21ST AVE S",
            "address_2": "SUITE #306",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124930",
            "telephone_number": "615-673-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRANDY",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "APN, GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2012-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "A810274",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "7818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.