Rebecca Joy Brown, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0263 Issued in SC

Practice address

316 Village Creek Dr
Boiling Springs, SC 29316-5387

Phone

(864) 327-9003

Fax

(800) 253-0649

NPI assigned

Jan 18, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Carolina Children'S Clinic, LLC

  • Urgent Care Clinic/Center
  • Boiling Springs, SC
  • NPI 1649915216
  NPD

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1144568650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 VILLAGE CREEK DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165387",
            "telephone_number": "864-327-9003",
            "fax_number": "800-253-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 VILLAGE CREEK DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165387",
            "telephone_number": "864-327-9003",
            "fax_number": "800-253-0649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Cedar Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293024628",
            "country_code": "US",
            "telephone_number": "864-577-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 College Dr",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293403778",
            "country_code": "US",
            "telephone_number": "864-489-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REBECCA",
        "middle_name": "JOY",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "0263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake P Bostrom, M.D.
• Debra L Bower, RPH
• Charles William Brian, RPH
• Denequal Anne Brown Smith, DNP
• Dustin Kevin Brown, PARAMEDIC
• Chandler Lane Burnett
• Robert Dean Burns, PARAMEDIC
• Danny Burnside Sr., M.DIV., M.A. PH. D.
• Carebridge Adult Day Care Center LLC
• Carolina Children'S Clinic, LLC

• Pediatric Nurse Practitioner in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.