Individual provider Active NPI

Rita Marie Brown, MLPN

  • Licensed Practical Nurse
  • Detroit, MI
National Provider Identifier
1376707091
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703065102 Issued in MI
Practice address
Northeast Health Center 5400 East 7 Mile Road
Room 35
Detroit, MI 48234
Phone
(313) 870-3048
Fax
(313) 368-4694
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703065102 MI Primary

Addresses

Primary practice location

Northeast Health Center 5400 East 7 Mile Road
Room 35
Detroit, MI 48234

Mailing address

Northeast Health Center 5400 East 7 Mile Road
Room 35
Detroit, MI 48234
Phone (313) 870-3048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4703065102MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1376707091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHEAST HEALTH CENTER 5400 EAST 7 MILE ROAD",
            "address_2": "ROOM 35",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48234",
            "telephone_number": "313-870-3048",
            "fax_number": "313-368-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHEAST HEALTH CENTER 5400 EAST 7 MILE ROAD",
            "address_2": "ROOM 35",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48234",
            "telephone_number": "313-870-3048",
            "fax_number": "313-368-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RITA",
        "middle_name": "MARIE",
        "credential": "MLPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703065102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.