Individual provider Active NPI

Jennifer Daniell Brown, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1356833396
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
135659 Issued in TX
Practice address
11521 N FM 620 Rd
Austin, TX 78726
Phone
(512) 687-0556
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 135659 TX Primary

Addresses

Primary practice location

11521 N FM 620 Rd
Austin, TX 78726

Mailing address

18605 Sandy Bottom Dr
Pflugerville, TX 78660-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629000980 TX Practitioner - Nurse Practitioner 3870849144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
135659TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgeons Who Only Care for Kids, PA CurrentSince Feb 1, 2023 Accepting new patients
Surgeons Who Only Care for Kids, PA CurrentSince Feb 1, 2023 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Austin, TX 78723
Phone (512) 324-0098

1301 Barbara Jordan Blvd
Ste 400
Austin, TX 78723
Phone (512) 708-4567

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8363/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jennifer.brown.3@8363.direct.athenahealth.com
  • Direct secure messaging: jennifer.brown.2@8363.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1356833396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18605 SANDY BOTTOM DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11521 N FM 620 RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78726",
            "telephone_number": "512-687-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "DANIELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "135659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.