Holly Rae Johantgen-Brown, DAOM, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

401 Issued in ME

Practice address

331 Maine St Ste 11
Brunswick, ME 04011-3359

Phone

(207) 809-2282

Fax

(207) 809-2146

NPI assigned

Jan 2, 2007

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Holly Johantgen Brown, PA

  dba Brunswick Integrative Health; Holly J. Brown

  • Acupuncturist
  • Brunswick, ME
  • NPI 1134676133
  NPD
• Countryside Chiropractic Inc

  dba Countryside Chiropractic

  • Chiropractor
  • Clearwater, FL
  • NPI 1396996963
  NPD (past)
• Mac Alternative Therapies Inc

  • Massage Therapist
  • Clearwater, FL
  • NPI 1255464061
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1194882191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAINE ST STE 11",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113359",
            "telephone_number": "207-809-2282",
            "fax_number": "207-809-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MAINE ST STE 11",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113359",
            "telephone_number": "207-809-2282",
            "fax_number": "207-809-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANTGEN-BROWN",
        "first_name": "HOLLY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DAOM, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "1924",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1134676133",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Janke, P.T.
• Catherine A Jaquith, PT
• Jason Steinhouser DC, PC (ChiroCare Center)
• Ross A Jerome Jr., RPH
• Jessica Mellon, LLC
• John F McGeough, MD
• Aaron Thomas Johnson, LADC, CCS
• Barbara Willman Johnson, LCSW
• Eileen W. Johnson, LCSW
• Stemple D Johnson, M.D.

• Acupuncturist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Acupuncturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.