Active NPI
Venice Brown
- Homemaker
- Manchester, CT
National Provider Identifier
1205406071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 47 Cottage St
Manchester, CT 06040-5415 - Phone
- (845) 597-9832
- NPI assigned
- Jun 25, 2021
- Last updated
- Jun 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | ||
| Home Health Aide | 374U00000X | NU | ||
| Homemaker | 376J00000X | CT | Primary | |
| Nurse's Aide | 376K00000X | NU | ||
| Licensed Practical Nurse | 164W00000X | 40441 | CT | |
| Health Educator | 174H00000X | CT | ||
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
47 Cottage St
Manchester, CT 06040-5415
Mailing address
47 Cottage St
Manchester, CT 06040-5415
Phone (845) 597-9832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40441 | CT | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1205406071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 COTTAGE ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405415",
"telephone_number": "845-597-9832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 COTTAGE ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405415",
"telephone_number": "845-597-9832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "VENICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "CT",
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CT",
"license": "40441",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.