Gwendolyn Marvett Ings-Brown

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

690542179 Issued in FL

Practice address

583 Sand Wedge Loop
Apopka, FL 32712-6055

Phone

(407) 766-7217

NPI assigned

Nov 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Gwendolyn Marvett Ings-Brown Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1447431309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 SAND WEDGE LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327126055",
            "telephone_number": "407-766-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 SAND WEDGE LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327126055",
            "telephone_number": "407-766-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGS-BROWN",
        "first_name": "GWENDOLYN",
        "middle_name": "MARVETT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "690542179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690542168",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690542198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690542196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690542179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "INGS-BROWN",
            "middle_name": "MARVETT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Apopka, FL
• Providers in Apopka, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.