Active NPI
Rodney Kareem Brown, REVEREND
- Case Manager/Care Coordinator
- Frisco, TX
National Provider Identifier
1306615935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.