Active NPI
Donna Ann Brown-Joerg
- Licensed Practical Nurse
- Willsboro, NY
National Provider Identifier
1376891259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 282553-1
- Practice address
- 3709 Main St
Apt #3
Willsboro, NY 12996-3734 - Phone
- (802) 777-8653
- NPI assigned
- Aug 26, 2012
- Last updated
- Aug 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 282553-1 | NY | Primary |
Addresses
Primary practice location
3709 Main St
Apt #3
Willsboro, NY 12996-3734
Mailing address
3709 Main St
Apt #3
Willsboro, NY 12996-3734
Phone (802) 777-8653
Other names 1
- Ms. Donna Ann Brown-Joerg
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
| License | State | Type | Specialty |
|---|---|---|---|
| 282553-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1376891259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 MAIN ST",
"address_2": "APT #3",
"city": "WILLSBORO",
"state": "NY",
"postal_code": "129963734",
"telephone_number": "802-777-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3709 MAIN ST",
"address_2": "APT #3",
"city": "WILLSBORO",
"state": "NY",
"postal_code": "129963734",
"telephone_number": "802-777-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN-JOERG",
"first_name": "DONNA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-26",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "282553-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "BROWN-JOERG",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "LPN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Willsboro, NY
- Lee T Ackley, RPA-C
- Adirondack Apothecary LLC (Willsboro Pharmacy)
- Adirondack Apothecary LLC (Willsboro Pharmacy)
- Associated Community Action of the North East Adirondack Region, Inc.
- David George Bonfante, D.D.S.
- Brian Callahan, P.A.
- Karen Crowningshield
- Essential Adirondack Therapy License Clinical Social Work, PLLC. (Essential Adirondack Therapy)
- Gratitude for Wellness Acupuncture
- Christine Hamms
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.