Individual provider Active NPI

Deborah Brown

  • Respite Care Camp
  • College Park, MD
National Provider Identifier
1174948798
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
License
401360300 Issued in MD
Practice address
9600 Milestone Way Apt 2021
College Park, MD 20740-4263
Phone
(443) 254-7175
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X 401360300 MD Primary

Addresses

Primary practice location

9600 Milestone Way Apt 2021
College Park, MD 20740-4263

Mailing address

9600 Milestone Way Apt 2021
College Park, MD 20740-4263
Phone (443) 254-7175

Other identifiers 1

IdentifierTypeStateIssuer
401360300MedicaidMD

Other names 1

  • Ms. Deborah Brown Former name

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

LicenseStateTypeSpecialty
401360300MDMDRespite Care Camp

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1174948798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 MILESTONE WAY APT 2021",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404263",
            "telephone_number": "443-254-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 MILESTONE WAY APT 2021",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404263",
            "telephone_number": "443-254-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "MD",
            "license": "401360300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401360300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BROWN",
            "prefix": "MS.",
            "credential": "MANAGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.