Individual provider Active NPI

Lisa Brown, DNP, PMHNP, FNP-NC

  • Psychiatric/Mental Health Nurse Practitioner
  • Perry Hall, MD
National Provider Identifier
1285035592
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R145174 Issued in MD
Practice address
5004 Honeygo Center Dr Ste 102-197
Perry Hall, MD 21128-8963
Phone
(410) 929-6858
Fax
(442) 222-8957
NPI assigned
Sep 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R145174 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R145174 MD Primary

Addresses

Primary practice location

5004 Honeygo Center Dr Ste 102-197
Perry Hall, MD 21128-8963

Mailing address

5004 Honeygo Center Dr Ste 102-197
Perry Hall, MD 21128-8963
Phone (410) 929-6858

Other identifiers 1

IdentifierTypeStateIssuer
119057101MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.tebra.com/care/provider/lisa-brown-dnp-pmhnp-fnp-nc-1285035592 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R145174MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E-Psychiatriq LLC Psychiatric/Mental Health CurrentSince Jan 19, 2025 Accepting new patients
MCS, PC Psychiatric/Mental Health Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5004 Honeygo Center Dr
Ste 102
Perry Hall, MD 21128
Phone (410) 668-3903

5004 Honeygo Center Dr
Ste 102197
Perry Hall, MD 21128
Phone (410) 929-6858

Interoperability endpoints

  • Direct secure messaging: drlbrown@epsychiatriq.kareodirect.com

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": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1285035592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 HONEYGO CENTER DR STE 102-197",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288963",
            "telephone_number": "410-929-6858",
            "fax_number": "443-222-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 HONEYGO CENTER DR STE 102-197",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288963",
            "telephone_number": "410-929-6858",
            "fax_number": "442-222-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP, FNP-NC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-06",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R145174",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R145174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119057101",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.tebra.com/care/provider/lisa-brown-dnp-pmhnp-fnp-nc-1285035592",
            "affiliation": "N",
            "endpointDescription": "Provider direct website to communicate",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tebra Direct Website to Communicate",
            "address_1": "5004 Honeygo Center Dr Ste 102-197",
            "city": "Perry Hall",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211288963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

Verify at the official NPI Registry.