Individual provider Active NPI

Sarah Brown, NP

  • Family Nurse Practitioner
  • Beverly, MA
National Provider Identifier
1366498149
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
163462 Issued in MA
Practice address
19 Dodge St
Beverly, MA 01915-1705
Phone
(978) 927-0060
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 163462 MA Primary

Addresses

Primary practice location

19 Dodge St
Beverly, MA 01915-1705

Mailing address

19 Dodge St
Beverly, MA 01915-1705
Phone (978) 927-0060

Other practice location 1

950 Winter St
Waltham, MA 02451-1424
Phone (781) 249-5657

Other identifiers 1

IdentifierTypeStateIssuer
2105403MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050701000674 MA Practitioner - Nurse Practitioner 9739125568

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163462MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc Past Accepting new patients
Hallmark Health Medical Associates Inc Family Past Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc PastSince Apr 2, 2016 Accepting new patients

Organizations & group practices 3

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366498149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151705",
            "telephone_number": "978-927-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151705",
            "telephone_number": "978-927-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Winter St",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511424",
            "country_code": "US",
            "telephone_number": "781-249-5657",
            "fax_number": "855-764-4693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SARAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "163462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105403",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.