Individual provider Active NPI

Kari Lee Brown, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
National Provider Identifier
1295987089
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
47303 Issued in AZ
Practice address
3985 E Hummingbird LN
Phoenix, AZ 85050-5423
Phone
(480) 861-5978
NPI assigned
Oct 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 47303 AZ Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 111259 CA

Addresses

Primary practice location

3985 E Hummingbird LN
Phoenix, AZ 85050-5423

Mailing address

21001 N Tatum Blvd Ste 1630
#302
Phoenix, AZ 85050

Other names 1

  • Kari Lee Lauridsen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023000837 AZ Practitioner - EndocrinologyPractitioner - Internal Medicine 1850526112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
111259CAMDPeriodontist
47303AZMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Endocrine Associates PC Endocrinology, Diabetes & Metabolism CurrentSince Aug 10, 2013 Accepting new patients

Locations

2200 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-6634

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCGHBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1295987089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 1630",
            "address_2": "#302",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 E HUMMINGBIRD LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850505423",
            "telephone_number": "480-861-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KARI",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "47303",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "111259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "LAURIDSEN",
            "middle_name": "LEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.