Angie E Brown, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

204943 Issued in CA

Practice address

1601 Lake St
Lodi, CA 95242-2436

Phone

(209) 333-2711

NPI assigned

Oct 19, 2007

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

State licenses

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1336338946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LAKE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LAKE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422436",
            "telephone_number": "209-333-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "204943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Briseno, FNP
• Rosemary Ann Brixie, FAMILY NURSE PRACTIT
• Steven Farrel Brizendine, DDS,MS
• Brody Bay Healthcare, Inc.
• Adrien Robin Trent Brooks, PT, DPT
• Ayanna Brown, M.S.
• Laura Brown
• Cyndi Brunelli
• Leyla T Brusatori, PHD
• Jennifer Lee Bryan, OTL

• Licensed Vocational Nurse in Lodi, CA
• Providers in Lodi, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.