Individual provider Active NPI

Rodney Kareem Brown, REVEREND

  • Case Manager/Care Coordinator
  • Frisco, TX
National Provider Identifier
1306615935
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
9300 John Hickman Pkwy Ste 801
Frisco, TX 75035-5913
Phone
(817) 618-6001
Fax
(469) 405-6565
NPI assigned
Dec 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Health & Wellness Coach 171400000X
Peer Specialist 175T00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

9300 John Hickman Pkwy Ste 801
Frisco, TX 75035-5913

Mailing address

1741 Duck Cove Dr
Aubrey, TX 76227-8596
Phone (469) 708-7049

Other practice location 1

26919 US Highway 380 E
Aubrey, TX 76227-7804
Phone (817) 618-6001

Other practice location 2

610 Uptown Blvd Ste 2000
Cedar Hill, TX 75104-3528
Phone (817) 618-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1306615935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 DUCK COVE DR",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762278596",
            "telephone_number": "469-708-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 801",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355913",
            "telephone_number": "817-618-6001",
            "fax_number": "469-405-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26919 US Highway 380 E",
            "address_purpose": "LOCATION",
            "city": "Aubrey",
            "state": "TX",
            "postal_code": "762277804",
            "country_code": "US",
            "telephone_number": "817-618-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Uptown Blvd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751043528",
            "country_code": "US",
            "telephone_number": "817-618-6001",
            "fax_number": "469-405-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RODNEY",
        "middle_name": "KAREEM",
        "name_prefix": "Mr.",
        "credential": "REVEREND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "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": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.