Individual provider Active NPI

Bettie Ann Brown, RN, BSN

  • Case Management Registered Nurse
  • Kansas City, MO
National Provider Identifier
1407010127
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
14-79445-051 Issued in KS
Practice address
637 E 72ND St
Kansas City, MO 64131-1613
Phone
(816) 516-6927
Fax
(816) 268-8849
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 104211 MO
Case Management Registered Nurse 163WC0400X 14-79445-051 KS Primary

Addresses

Primary practice location

637 E 72ND St
Kansas City, MO 64131-1613

Mailing address

637 E 72ND St
Kansas City, MO 64131-1613
Phone (816) 516-6927

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
104211MOMDRegistered Nurse
14-79445-051KSMDCase Management Registered 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": "1407010127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 E 72ND ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311613",
            "telephone_number": "816-516-6927",
            "fax_number": "816-268-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E 72ND ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311613",
            "telephone_number": "816-516-6927",
            "fax_number": "816-268-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BETTIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "104211",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "KS",
            "license": "14-79445-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

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.