Susan Kay Brown, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

44909 Issued in WY

Practice address

121 E Grand Ave Ste 204
Laramie, WY 82070-3600

Phone

(307) 316-4410

NPI assigned

Nov 9, 2019

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1104461599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E GRAND AVE STE 204",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703600",
            "telephone_number": "307-316-4410",
            "fax_number": "307-459-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E GRAND AVE STE 204",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703600",
            "telephone_number": "307-316-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "44909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamille Brough
• Elizabeth A Brown, PTA
• Emma Brown
• Mackenzie Brown
• Meghan Rose Brown, LCSW
• Tanya Brown
• Jacob Brownell
• David Bruch
• Holly Bruch, M.S., CCC-SLP
• Dave R Brumbaugh, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Laramie, WY
• Providers in Laramie, WY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.