Active NPI
Samantha Taylor Brown, CPRS
- Peer Specialist
- Memphis, TN
National Provider Identifier
1265249221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 000-1953
- Practice address
- 1320 Peabody Ave
Memphis, TN 38104-3500 - Phone
- (901) 338-8299
- NPI assigned
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 000-1953 | TN | Primary |
Addresses
Primary practice location
1320 Peabody Ave
Memphis, TN 38104-3500
Mailing address
517 S Barksdale St
Memphis, TN 38104-5250
Phone (901) 338-8299
Other practice location 1
199 Summitt St
Memphis, TN 38104-4238
Phone (901) 338-8299
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000-1953 | TN | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thistle and Bee Enterprises Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Memphis, TN
- NPI 1669228565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1265249221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 S BARKSDALE ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045250",
"telephone_number": "901-338-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 PEABODY AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043500",
"telephone_number": "901-338-8299"
}
],
"practiceLocations": [
{
"address_1": "199 Summitt St",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381044238",
"country_code": "US",
"telephone_number": "901-338-8299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "SAMANTHA",
"middle_name": "TAYLOR",
"credential": "CPRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "TN",
"license": "000-1953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.