Individual provider Active NPI

Onnie Maria Brown, APRN

  • Adult Health Nurse Practitioner
  • Elkridge, MD
National Provider Identifier
1376785782
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP8302 Issued in AZ
Practice address
6514 Meadowridge Rd
Elkridge, MD 21075-6115
Phone
(623) 466-3106
Fax
(623) 566-1802
NPI assigned
Mar 31, 2009
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP8302 AZ Primary

Addresses

Primary practice location

6514 Meadowridge Rd
Elkridge, MD 21075-6115

Mailing address

16220 N 7TH St
Apt. 2327
Phoenix, AZ 85022-2600
Phone (912) 655-0819

Other names 1

  • Onnie Maria Brown-Shellman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1376785782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 N 7TH ST",
            "address_2": "APT. 2327",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222600",
            "telephone_number": "912-655-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 MEADOWRIDGE RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756115",
            "telephone_number": "623-466-3106",
            "fax_number": "623-566-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ONNIE",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP8302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONNIE",
            "last_name": "BROWN-SHELLMAN",
            "middle_name": "MARIA",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.