Individual provider Active NPI

Holly E Brown, RN, NPP, CS

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1255545588
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400425 Issued in NY
Practice address
1183 Monroe Ave
Rochester, NY 14620-1662
Phone
(585) 281-0934
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400425 NY Primary

Addresses

Primary practice location

1183 Monroe Ave
Rochester, NY 14620-1662

Mailing address

47 Old Settlers Dr
Pittsford, NY 14534-4628
Phone (585) 314-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926002232 NY Practitioner - Nurse Practitioner 5395042881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
F400425NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Cerebral Palsy, Inc. CurrentSince Apr 29, 2022 Accepting new patients
Upstate Cerebral Palsy, Inc. CurrentSince Apr 29, 2022 Accepting new patients
Upstate Cerebral Palsy, Inc Current Accepting new patients

Locations

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1427 Genesee St
Utica, NY 13501
Phone (315) 738-1428

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255545588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OLD SETTLERS DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344628",
            "telephone_number": "585-314-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201662",
            "telephone_number": "585-281-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HOLLY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RN, NPP, CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.