Active NPI
Nioma M Brown, ARNP-C
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1215961065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1316622
- Practice address
- 3622 Madaca LN
Tampa, FL 33618-2057 - Phone
- (813) 961-1314
- Fax
- (813) 961-1315
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1316622 | FL | Primary |
Addresses
Primary practice location
3622 Madaca LN
Tampa, FL 33618-2057
Mailing address
4730 N Habana Ave
Ste 204
Tampa, FL 33614-7148
Phone (813) 549-2134
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y7511 | Other | FL | BLUE CROSS BLUE SHIELD |
| 303507700 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1316622 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles K Friedman DO PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Interventional Pain Medicine Physician
- St Petersburg, FL
- NPI 1982622775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215961065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 N HABANA AVE",
"address_2": "STE 204",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147148",
"telephone_number": "813-549-2134",
"fax_number": "813-864-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 MADACA LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182057",
"telephone_number": "813-961-1314",
"fax_number": "813-961-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NIOMA",
"middle_name": "M",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1316622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y7511",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303507700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.