Individual provider Active NPI

Rodalyn Ulep Brown, FNP

  • Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1184163206
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95004300 Issued in CA
Practice address
6786 Vermarine CT
Carlsbad, CA 92009-1705
Phone
(760) 889-1763
NPI assigned
Feb 22, 2017
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95004300 CA Primary

Addresses

Primary practice location

6786 Vermarine CT
Carlsbad, CA 92009-1705

Mailing address

6786 Vermarine CT
Carlsbad, CA 92009-1705
Phone (760) 889-1763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721002673 CA Practitioner - Nurse Practitioner 1951761915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Medical GroupGroup PAC ID 1759797251, 9 clinicians
Healwell Management LLCGroup PAC ID 6103395686, 8 clinicians

Practice addresses (Care Compare)

24100 Monroe Ave
Murrieta, CA 92562-9507
Phone (951) 302-1122

44045 Margarita Rd
Suite 101
Temecula, CA 92592-2729
Phone (951) 880-0701

640 S San Vicente Blvd
Suite 442
Los Angeles, CA 90048-4696
Phone (469) 809-4979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Jun 8, 2023 Accepting new patients
Mark C. O'Brien, D.O., Inc. PastSince Oct 13, 2024 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1184163206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6786 VERMARINE CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091705",
            "telephone_number": "760-889-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6786 VERMARINE CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091705",
            "telephone_number": "760-889-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RODALYN",
        "middle_name": "ULEP",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.