Active NPI
Connie Brown, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1407226327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- A004529
- Practice address
- 2504 Stephanie Dr
Little Rock, AR 72206-5418 - Phone
- (501) 475-8866
- NPI assigned
- Oct 5, 2015
- Last updated
- Oct 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP137171 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | A004529 | AR | Primary |
Addresses
Primary practice location
2504 Stephanie Dr
Little Rock, AR 72206-5418
Mailing address
2504 Stephanie Dr
Little Rock, AR 72206-5418
Phone (501) 475-8866
Other practice location 1
201 E Main Dr Ste 600
El Paso, TX 79901-1385
Phone (915) 887-3410
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004529 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP137171 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1407226327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 STEPHANIE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722065418",
"telephone_number": "501-475-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 STEPHANIE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722065418",
"telephone_number": "501-475-8866"
}
],
"practiceLocations": [
{
"address_1": "201 E Main Dr Ste 600",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799011385",
"country_code": "US",
"telephone_number": "915-887-3410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "CONNIE",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP137171",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "A004529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.