Wandrea Brown

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

144 Secretary TRL
Palm Coast, FL 32164-4404

Phone

(386) 527-0660

Fax

(386) 313-5233

NPI assigned

Apr 5, 2017

Last updated

Apr 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Angel Star Helping Hands, LLC

  • Home Health Agency
  • Palm Coast, FL
  • NPI 1104338714
  NPD (past) Authorized official

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1245763374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SECRETARY TRL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321644404",
            "telephone_number": "386-527-0660",
            "fax_number": "386-313-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SECRETARY TRL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321644404",
            "telephone_number": "386-527-0660",
            "fax_number": "386-313-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Brown Jr.
• Rachel Brown, PT
• Samantha Brown
• Steven Joseph Brown, M.D.
• Tishara Brown, LPN
• Patricia Ellen Bruce, LMT
• Sara Diaz Bruce, FNP-BC
• Brandi Eileen Bryant, ARNP
• Sharon Denise Bucknor, RN
• Sara Buddner

• Contractor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.