Traven Jelani Brown I

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

600 S Macarthur Blvd
Apt 2128
Coppell, TX 75019-6718

Phone

(318) 512-5105

NPI assigned

Jul 7, 2009

Sex

Male

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

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1255560686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MACARTHUR BLVD",
            "address_2": "APT 2128",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196718",
            "telephone_number": "318-512-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MACARTHUR BLVD",
            "address_2": "APT 2128",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196718",
            "telephone_number": "318-512-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TRAVEN",
        "middle_name": "JELANI",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Bronkhorst, DDS
• Carolyn Antonia Brown, NP
• Chasity J Brown
• Hannah Noelle Brown, OTD, OTR/L
• Maizie Ann Brown, COTA/L
• James Arthur Bruce, D.M.D
• Alissa Marie Buchanan, RDH
• Trang Tu Bui, PHARMD
• William Jesse Bullard, PT, DPT
• Rachel Bunke, CCC-SLP

• Home Health Aide in Coppell, TX
• Providers in Coppell, TX by specialty
• Home Health Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.