Tananarieve P Brown, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Daytona Beach, FL
NPI 1306175203 · NPPES record last updated Jan 8, 2016
Key facts
- NPI
- 1306175203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- ARNP9282793 (FL)
- Practice address
- 1220 Willis Ave
Daytona Beach, FL 32114-2810 - Phone
- (386) 236-3200
- Fax
- (850) 236-3161
- NPI assigned
- Dec 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sma Healthcare Inc
Practice addresses (Care Compare)
105 W Calvin St
Deland, FL 32720-7403
Phone (800) 539-4228
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20100301000564 | FL | Practitioner - Nurse Practitioner | 2365587482 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9282793 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sma Healthcare, Inc | Current |
Accepting new patients | |
| Sma Healthcare Inc | Current |
Accepting new patients | |
| Sma Healthcare Inc | Past |
Accepting new patients | |
| Sma Healthcare Inc | Past | Accepting new patients |
Locations
301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726
1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183
1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200
702 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 254-1211
3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328
150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215
225 Fentress Blvd
Ste A
Daytona Beach, FL 32114
Phone (386) 236-3221
356 Englenook Dr
Ste 142
Debary, FL 32713
105 W Calvin St
Deland, FL 32720
Phone (386) 254-1100
1251 N Stone St
Deland, FL 32720
Phone (386) 469-1544
330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780
1880 San Sebastian Vw
Ste 4201
St Augustine, FL 32084
Interoperability endpoints
- tanarieve.brown.p1@direct.smahealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9282793 | FL | Yes |
Addresses
Primary practice location
1220 Willis Ave
Daytona Beach, FL 32114-2810
Mailing address
1220 Willis Ave
Daytona Beach, FL 32114-2810
Phone (386) 236-3200
Other providers in Daytona Beach, FL
- Kimberly Lavita Clayton Brown
- Kristin Jones Brown
- Kristy Brown
- Mary K. Brown
- Michelle Ann Brown
- Barbara L Brownfield
- Teresa M Broxton
- Tony L Broxton
- Bruce C. Benedictson, D.D.S. PA
- Sarah Bruce
All providers in Daytona Beach, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2016. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.