Individual provider Active NPI

Melissa Anne Brown, FNP-BC

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1194150532
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17837 Issued in TN
Practice address
9019 Overlook Blvd Ste C1
Brentwood, TN 37027-2736
Phone
(615) 274-9767
Fax
(833) 450-4801
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17837 TN Primary

Addresses

Primary practice location

9019 Overlook Blvd Ste C1
Brentwood, TN 37027-2736

Mailing address

9019 Overlook Blvd Ste C1
Brentwood, TN 37027-2736
Phone (615) 274-9767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20131127000301 TN Practitioner - Nurse Practitioner 5496981276 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group Family CurrentSince Mar 1, 2024 Accepting new patients
Iris Wound Care, PC Past Accepting new patients
Tennessee Imaging Consultants Past Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

9019 Overlook Blvd
Ste C1
Brentwood, TN 37027

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1194150532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD STE C1",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272736",
            "telephone_number": "615-274-9767",
            "fax_number": "833-450-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD STE C1",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272736",
            "telephone_number": "615-274-9767",
            "fax_number": "833-450-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.