Kerry Allen Brown

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA882222 Issued in FL

Practice address

4100 W Kennedy Blvd Ste 312
Tampa, FL 33609-2290

Phone

(813) 667-0988

NPI assigned

Mar 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1194473504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 W POWHATAN AVE APT 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154147",
            "telephone_number": "717-319-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 312",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092290",
            "telephone_number": "813-667-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KERRY",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA882222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kerry@mytampasportsmassage.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4100 W Kennedy Blvd Ste 312",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kacie L Brown, APRN
• Kaitlin Madison Brown
• Kathleen D Brown, MD
• Kathryn E Brown
• Kendra Katrice Brown, LCSW
• Kevin Patrick Brown
• Kinyatta Brown
• Lauranne Elisa Brown, PMHNP-BC
• Lauren Brown, MSN, APRN, FNP-C
• Lauren Brown, RN

• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.