Individual provider Active NPI

Jolinda Lou Brown, LPN

  • Licensed Practical Nurse
  • Ft Carson, CO
National Provider Identifier
1477223923
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.0043138 Issued in CO
Practice address
2751 Wilderness Rd BLDG 9481
Ft Carson, CO 80913-4719
Phone
(719) 526-5142
Fax
(719) 526-2998
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.0043138 CO Primary

Addresses

Primary practice location

2751 Wilderness Rd BLDG 9481
Ft Carson, CO 80913-4719

Mailing address

312 W 3Rd St
Florence, CO 81226-1410
Phone (719) 339-9596

Other identifiers 1

IdentifierTypeStateIssuer
PN.0043138OtherCODORA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jolinda.l.brown.civ@mail.mil Direct
Direct Messaging Address jolinda.l.brown.civ@mail.mil Direct

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

LicenseStateTypeSpecialty
PN.0043138COMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1477223923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 3RD ST",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812261410",
            "telephone_number": "719-339-9596",
            "fax_number": "719-526-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 WILDERNESS RD BLDG 9481",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134719",
            "telephone_number": "719-526-5142",
            "fax_number": "719-526-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOLINDA",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "PN.0043138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "PN.0043138",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jolinda.l.brown.civ@mail.mil",
            "affiliation": "N",
            "endpointDescription": "My work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office/Work",
            "address_1": "312 W 3rd St",
            "city": "Florence",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812261410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jolinda.l.brown.civ@mail.mil",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work",
            "address_1": "2751 Wilderness Rd Bldg 9481",
            "city": "Ft Carson",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809134719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ft Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.