Active NPI
Bianca Danielle Brown
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Austin, TX
National Provider Identifier
1457810558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Practice address
- 810 E Slaughter LN Apt 11204
Austin, TX 78744-2139 - Phone
- (512) 775-0251
- NPI assigned
- Mar 18, 2019
- Last updated
- Mar 18, 2019
- 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 |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary | |
| Licensed Vocational Nurse | 164X00000X | 346620 | TX |
Addresses
Primary practice location
810 E Slaughter LN Apt 11204
Austin, TX 78744-2139
Mailing address
PO Box 17872
Austin, TX 78760-7872
Phone (512) 775-0251
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346620 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1457810558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17872",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787607872",
"telephone_number": "512-775-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E SLAUGHTER LN APT 11204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787442139",
"telephone_number": "512-775-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "BIANCA",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "346620",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.