Active NPI
Phyllis Renee Brown, CM
- Social Worker
- Tulsa, OK
National Provider Identifier
1235416751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13689
- Practice address
- 6333 E Skelly Dr
Tulsa, OK 74135-6106 - Phone
- (918) 664-4224
- NPI assigned
- Nov 11, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 13689 | LA | Primary |
Addresses
Primary practice location
6333 E Skelly Dr
Tulsa, OK 74135-6106
Mailing address
9913 E 21St PL
Tulsa, OK 74129-4422
Phone (972) 251-0889
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 |
|---|---|---|---|
| 13689 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1235416751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9913 E 21ST PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741294422",
"telephone_number": "972-251-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 E SKELLY DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741356106",
"telephone_number": "918-664-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PHYLLIS",
"middle_name": "RENEE",
"credential": "CM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "13689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.