Individual provider Active NPI

Ashlyn E Brown, MD

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1336600089
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
335543 Issued in LA
Practice address
4345 Nelson Rd Ste 201
Lake Charles, LA 70605-4183
Phone
(373) 494-6800
Fax
(337) 494-6811
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T6525 TX
Internal Medicine Physician 207R00000X 335543 LA Primary

Addresses

Primary practice location

4345 Nelson Rd Ste 201
Lake Charles, LA 70605-4183

Mailing address

PO Box 122205 Dept 2205
Dallas, TX 75312-0001
Phone (337) 494-2921

Other identifiers 2

IdentifierTypeStateIssuer
695622OtherTXTEXAS MEDICAL BOARD - PHYSICIAN IN TRAINING PERMIT
335543OtherLALSBME

Other names 1

  • Ashlyn E Courville Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acourville425612@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830000284 LA Practitioner - Internal Medicine 8820322043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swlhs LLCGroup PAC ID 6406938612, 17 clinicians

Practice addresses (Care Compare)

4345 Nelson Rd
Internal Medicine Clinic of Lake CH
Lake Charles, LA 70605-4156
Phone (337) 494-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Swlhs LLC Internal Medicine CurrentSince Aug 14, 2023 Accepting new patients

Locations

1902 Johnson St
Jennings, LA 70546
Phone (337) 788-2864

1717 Oak Park Blvd
Fl 1
Lake Charles, LA 70601
Phone (337) 478-3810

2770 3rd Ave
Ste 320
Lake Charles, LA 70601
Phone (337) 494-6800

4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900

2770 3rd Ave
Ste 300
Lake Charles, LA 70601
Phone (337) 477-6061

4345 Nelson Rd
Ste 201
Lake Charles, LA 70605
Phone (337) 494-6800

Interoperability endpoints

  • Direct secure messaging: acourville425612@direct.sw.org
  • Direct secure messaging: abrown5281911@direct.casso.us.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1336600089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122205 DEPT 2205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 NELSON RD STE 201",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054183",
            "telephone_number": "373-494-6800",
            "fax_number": "337-494-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ASHLYN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6525",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "335543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD - PHYSICIAN IN TRAINING PERMIT",
            "identifier": "695622",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSBME",
            "identifier": "335543",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acourville425612@direct.sw.org",
            "affiliation": "N",
            "address_1": "1605 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLYN",
            "last_name": "COURVILLE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.