Theresa Brown, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L16463 Issued in NY

Practice address

101 Ellwood Ave
Mount Vernon, NY 10552-3448

Phone

(914) 721-0478

NPI assigned

Oct 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507939200000",
    "number": "1326559535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ELLWOOD AVENUE",
            "address_2": "6B",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10552",
            "telephone_number": "646-228-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELLWOOD AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523448",
            "telephone_number": "914-721-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-14",
        "last_updated": "2017-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "L16463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Marcia Brown-Whittaker
• Angella D Brown, RN
• Deborah Ann Brown, L.P.N.
• Jacqueline Florence Brown
• Nucula Brown, LMSW
• Vernita Brown
• Vivienne P Brown, LPN
• Ty Browne, LMSW, CLC
• Jennifer Brusca
• Daisy Bryan

• Lactation Consultant (Registered Nurse) in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Lactation Consultant (Registered Nurse) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; 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.