Individual provider Active NPI

Kristen Leigh Brown, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1477201275
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2267847 Issued in MA
Practice address
1822 N Main St
Fall River, MA 02720-1348
Phone
(508) 635-1337
NPI assigned
Mar 11, 2022
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2267847 MA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2267847 MA

Addresses

Primary practice location

1822 N Main St
Fall River, MA 02720-1348

Mailing address

691 Fall River Ave
Seekonk, MA 02771-5646
Phone (508) 635-1337

Other practice location 1

197 Warren Ave Ste 202
East Providence, RI 02914-4826
Phone (508) 635-1337

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@foundationsforwellness.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20231108001864 MA Practitioner - Nurse Practitioner 5496102717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundations for Wellness, IncGroup PAC ID 5698122059, 6 clinicians

Practice addresses (Care Compare)

691 Fall River Ave
Seekonk, MA 02771-5646
Phone (508) 635-1337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2267847MAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations for Wellness, Inc Psychiatric/Mental Health CurrentSince Jun 2, 2024 Accepting new patients

Locations

1822 N Main St
Fall River, MA 02720
Phone (508) 635-1337

1822 N Main St
Ste 203
Fall River, MA 02720
Phone (508) 635-1337

691 Fall River Ave
Seekonk, MA 02771
Phone (508) 287-1183

197 Warren Ave
Ste 202
East Providence, RI 02914
Phone (508) 635-1331

Interoperability endpoints

  • Direct secure messaging: foundationsforwellness.kristenbrown@160451.advancedmd-direct.com

Organizations & group practices 1

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1477201275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715646",
            "telephone_number": "508-635-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201348",
            "telephone_number": "508-635-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Warren Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029144826",
            "country_code": "US",
            "telephone_number": "508-635-1337",
            "fax_number": "781-795-9566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2267847",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2267847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@foundationsforwellness.org",
            "affiliation": "N",
            "address_1": "1822 N Main St",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027201348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.