Individual provider Active NPI

Stephanie Anne Brown, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1407524630
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RNP263412 Issued in AZ
Practice address
1501 W Commerce CT
Tucson, AZ 85746-6016
Phone
(520) 741-3180
NPI assigned
Sep 2, 2021
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP263412 AZ Primary

Addresses

Primary practice location

1501 W Commerce CT
Tucson, AZ 85746-6016

Mailing address

1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3293

Other practice location 1

2802 E District St
Tucson, AZ 85714-2081
Phone (520) 301-2232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721003104 AZ Practitioner - Nurse Practitioner 0749661718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians
Connections Southernaz, LLCGroup PAC ID 2769874197, 25 clinicians

Practice addresses (Care Compare)

1501 W Commerce CT
Tucson, AZ 85746-6016
Phone 52079232931308

2802 E District St
FL 2
Tucson, AZ 85714-2081
Phone (520) 301-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP263412AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cope Community Services, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Cope Community Services, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Connections Southernaz, LLC CurrentSince Mar 3, 2022 Accepting new patients
Connections Southernaz, LLC CurrentSince Mar 3, 2022 Accepting new patients
Connections Southernaz, LLC Current Accepting new patients
Cope Community Services, Inc. Past Accepting new patients
Cope Community Services, Inc. Past Accepting new patients
Cope Community Services, Inc. PastSince Mar 27, 2022 Accepting new patients
Cope Community Services, Inc. Past Accepting new patients
Cope Community Services, Inc. Past Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

1501 W Commerce Ct
Tucson, AZ 85746
Phone (520) 741-3180

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

2802 E District St
Tucson, AZ 85714
Phone (520) 622-6000

2802 E District St
Fl 2
Tucson, AZ 85714
Phone (602) 253-5100

3332 N Los Altos Ave
Tucson, AZ 85705
Phone 52079232931308

5401 E 5th St
Tucson, AZ 85711
Phone (520) 879-6680

5840 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 498-3900

620 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 747-6694

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

8050 E Lakeside Pkwy
Tucson, AZ 85730
Phone (520) 584-5820

924 N Alvernon Way
Tucson, AZ 85711
Phone (520) 207-9348

924 N Alvernon Way
Ste 110
Tucson, AZ 85711
Phone (520) 207-9348

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1407524630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-792-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-741-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2802 E District St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857142081",
            "country_code": "US",
            "telephone_number": "520-301-2232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP263412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.