Jamie Ann Brown, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.126101.IV Issued in OH

Practice address

2036 Willowood Dr N
Ontario, OH 44906-1764

Phone

(419) 612-5065

NPI assigned

Dec 2, 2018

Last updated

Feb 16, 2020By the provider in NPPES

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": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1346710480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 WILLOWOOD DR N",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061764",
            "telephone_number": "419-612-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 WILLOWOOD DR N",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061764",
            "telephone_number": "419-612-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Dale Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449028609",
            "country_code": "US",
            "telephone_number": "419-612-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-02",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.126101.IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brook Run Counseling & Consulting, LLC
• John Brooks
• Pamela Jeanne Brooks
• Christina Brown
• Harold Mordecai Brown, DO
• Miles Timothy Brown, SPCC
• Stephen Brown, MSBS, PA-C
• Ashley Leann Miley Bryant, MD
• Silishaya Bryant
• Mary Burdette

• Licensed Practical Nurse in Ontario, OH
• Providers in Ontario, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.