Kimberly Parker Brown
Individual provider Active NPI Family Nurse Practitioner · Greensburg, LA
NPI 1295396901 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1295396901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 200636 (LA)
- Practice address
- 1590 Highway 1042
Greensburg, LA 70441-4240 - Phone
- (252) 222-6292
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190816001180 | LA | Practitioner - Nurse Practitioner | 6709113566 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 888721 | MS | MD | Registered Nurse |
| 200636 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients | |
| Southeast Community Health Systems | Past |
Accepting new patients | |
| Southeast Community Health Systems | Past | Accepting new patients | |
| Southeast Community Health Systems | Past |
Accepting new patients |
Locations
490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059
1798 Highway 1042
Greensburg, LA 70441
Phone (225) 306-2045
30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045
336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060
721 Avenue G
Kentwood, LA 70444
Phone (985) 229-5501
6351 Main St
Zachary, LA 70791
Phone (225) 306-2055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200636 | LA | |
| Registered Nurse | 163W00000X | 888721 | MS | |
| Family Nurse Practitioner | 363LF0000X | 200636 | LA | Yes |
Addresses
Primary practice location
1590 Highway 1042
Greensburg, LA 70441-4240
Mailing address
1590 Highway 1042
Greensburg, LA 70441-4240
Phone (225) 222-6292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F07182110 | Other | AANP CERTIFICATION NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbrown@shchc.org | Other |
Other providers in Greensburg, LA
- Albany Dental Clinic
- Angel'S Touch Hospice LLC
- Angels Touch Healthcare Services, LLC
- Darla Bridges
- Michelle Bridges
- Luberta M Brown
- Cambridge Holistic Wellness
- Norweda Lynn Carter
- Janette C Cassano
- Robert Lyle Cleveland
All providers in Greensburg, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.