Active NPI
Nicola Brown, AGNP-BC
- Adult Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1144814351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F30963301
- Practice address
- 1786 Flatbush Ave
Brooklyn, NY 11210-4203 - Phone
- (929) 333-9953
- NPI assigned
- Feb 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F30963301 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F30963301 | NY | Primary |
Addresses
Primary practice location
1786 Flatbush Ave
Brooklyn, NY 11210-4203
Mailing address
188 Grand St Unit 161
New York, NY 10013-3729
Phone (929) 438-0166
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F30963301 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679788800000",
"number": "1144814351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 GRAND ST UNIT 161",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133729",
"telephone_number": "929-438-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1786 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104203",
"telephone_number": "929-333-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NICOLA",
"credential": "AGNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-28",
"last_updated": "2023-03-26",
"certification_date": "2023-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F30963301",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F30963301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.