Andrea Brown, LPN

Key facts

NPI

1457741811

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

PN.152763-M-IV (OH)

Practice address

9479 Windham Parkman Rd
Windham, OH 44288-9704

Phone

(330) 622-3530

NPI assigned

Jan 23, 2015

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 23, 2015.

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1457741811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9479 WINDHAM PARKMAN RD",
            "city": "WINDHAM",
            "state": "OH",
            "postal_code": "442889704",
            "telephone_number": "330-622-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 WINDHAM PARKMAN RD",
            "city": "WINDHAM",
            "state": "OH",
            "postal_code": "442889704",
            "telephone_number": "330-622-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANDREA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.152763-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, OH

• Danielle Tiesha Askew
• Hannah Marie Brawn
• Maureen Anne Brawn
• Marissa Faye Campisi
• Johnathan T Carey
• Tina Marie Carey
• Thomas Carmen
• Dorothy Collier

All providers in Windham, OH · Licensed Practical Nurse in Ohio