Individual provider Active NPI

Candice A Brown-Mann, R.N

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1235461245
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
621009 Issued in NY
Practice address
1682 E 48TH St
Brooklyn, NY 11234-3704
Phone
(917) 500-0917
NPI assigned
Feb 2, 2010
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 621009 NY Primary

Addresses

Primary practice location

1682 E 48TH St
Brooklyn, NY 11234-3704

Mailing address

1628 E 48TH St
Brooklyn, NY 11234-3704
Phone (917) 500-4317

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
621009NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1235461245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 E 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343704",
            "telephone_number": "917-500-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 E 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343704",
            "telephone_number": "917-500-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-MANN",
        "first_name": "CANDICE",
        "middle_name": "A",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "621009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.