Individual provider Active NPI

Thraese Brown, ARNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1194247452
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9355176 Issued in FL
Practice address
407 N Parsons Ave
Brandon, FL 33510-4537
Phone
(813) 681-5880
NPI assigned
Jul 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9355176 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9355176 FL Primary

Addresses

Primary practice location

407 N Parsons Ave
Brandon, FL 33510-4537

Mailing address

11214 E Dr Martin Luther King Jr Blvd Ste 101
Seffner, FL 33584-8359
Phone (813) 679-6592

Other practice location 1

6901 Simmons Loop Fl 4
Riverview, FL 33578-9498
Phone (813) 302-8388

Other identifiers 1

IdentifierTypeStateIssuer
022521000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250421003092 MN Practitioner - Nurse Practitioner 7012274277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gehlen Counseling and Consulting LLCGroup PAC ID 3173047214, 9 clinicians

Practice addresses (Care Compare)

8060 State Hwy 55
Suite 100
Rockford, MN 55373-9407
Phone (612) 465-9910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11613MNMDClinical Social Worker
APRN9355176FLMDPsychiatric/Mental Health Nurse Practitioner
ARNP9355176FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oliphant Holistic Health and Wellness LLC Psychiatric/Mental Health CurrentSince Oct 5, 2025 Accepting new patients
Gehlen Counseling and Consulting LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

220 W Brandon Blvd
Ste 204
Brandon, FL 33511
Phone (813) 203-7399

11214 E Dr Martin Luther King Jr Blvd
Seffner, FL 33584
Phone (813) 461-3111

Organizations & group practices 2

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": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1194247452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11214 E DR MARTIN LUTHER KING JR BLVD STE 101",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335848359",
            "telephone_number": "813-679-6592",
            "fax_number": "813-845-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104537",
            "telephone_number": "813-681-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Simmons Loop Fl 4",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335789498",
            "country_code": "US",
            "telephone_number": "813-302-8388",
            "fax_number": "813-302-8453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THRAESE",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-08",
        "last_updated": "2024-10-04",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9355176",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9355176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022521000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.