Individual provider Active NPI

Loreal Elizabeth Brown, MS, RN, CNL, FNP-BC

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1265025076
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2311451 Issued in MA
Practice address
60 Fenwood Rd
Floor 4, Department of Neurology, Division of Epilepsy
Boston, MA 02115-6128
Phone
(617) 732-5500
Fax
(878) 201-9422
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2311451 MA Primary

Addresses

Primary practice location

60 Fenwood Rd
Floor 4, Department of Neurology, Division of Epilepsy
Boston, MA 02115-6128

Mailing address

60 Fenwood Rd
Floor 4, Department of Neurology, Division of Epilepsy
Boston, MA 02115-6128
Phone (617) 732-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230323002053 MA Practitioner - Nurse Practitioner 5294109765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

60 Fenwood Rd
Boston, MA 02115-6128
Phone (855) 278-8009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2311451MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Dec 15, 2022 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

60 Fenwood Rd
Boston, MA 02115
Phone (617) 732-5056

75 Francis St
Boston, MA 02115

60 Fenwood Rd
Fl 4
Boston, MA 02115
Phone (617) 732-7432

60 Fenwood Rd
Fl 1
Boston, MA 02115
Phone (617) 525-6550

254 2nd Ave
Needham Heights, MA 02494
Phone (781) 416-8414

Interoperability endpoints

  • Direct secure messaging: brown.loreal.bwh@direct.partners.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1265025076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FENWOOD RD",
            "address_2": "FLOOR 4, DEPARTMENT OF NEUROLOGY, DIVISION OF EPILEPSY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156128",
            "telephone_number": "617-732-5500",
            "fax_number": "878-201-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FENWOOD RD",
            "address_2": "FLOOR 4, DEPARTMENT OF NEUROLOGY, DIVISION OF EPILEPSY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156128",
            "telephone_number": "617-732-5500",
            "fax_number": "878-201-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LOREAL",
        "middle_name": "ELIZABETH",
        "credential": "MS, RN, CNL, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2311451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.