Shantay Brown, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

132511 Issued in AK

Practice address

1015 E 6TH Ave
Anchorage, AK 99501-2748

Phone

(907) 276-6430

Fax

(907) 276-3637

NPI assigned

Jun 27, 2019

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1134780356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E 6TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012748",
            "telephone_number": "907-276-6430",
            "fax_number": "907-276-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 6TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012748",
            "telephone_number": "907-276-6430",
            "fax_number": "907-276-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANTAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "132511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Suzanne Brown, FNP-C
• Rena Ifeoma Brown, ANP-BC, GNP-BC,PMHNP
• Sandra Brown
• Sarah Brown
• Shaherah Love Brown
• Sierra Kellene Brown
• Stacy Brown
• Teresa Brown
• Tiffany M Brown
• Wendy Brown, M.S.

• All providers in Anchorage, AK
• Addiction (Substance Use Disorder) Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.