Stacey McKinnie Brown

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3960 Walnut Dr
Eureka, CA 95503-8938

Phone

(707) 268-8722

Fax

(707) 268-0218

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Covenant Counseling Center

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1497923312
  NPD (past)
• Remi Vista Inc.

  • Case Management Agency
  • Eureka, CA
  • NPI 1558314161
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1295961852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693280",
            "telephone_number": "530-872-2103",
            "fax_number": "530-872-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 WALNUT DR",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955038938",
            "telephone_number": "707-268-8722",
            "fax_number": "707-268-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STACEY",
        "middle_name": "MCKINNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marijke Leoni Brown, MED OFFICE ASST.
• Misty Dawn Brown
• Pamela Christine Brown, BACHELORS DEGREE
• Renee Brown
• Samantha Brown, AMFT
• Lynda S Bruce, PHD
• Stephen Michael Brudney, CASE MANAGER
• Chanel Marie Brumett, RN
• Candy S Bryant
• Gwendoria Buckles

• Case Manager/Care Coordinator in Eureka, CA
• Providers in Eureka, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.