Active NPI
Linda D Brewster, LCSW
- Psychiatry Physician
- Jonesboro, AR
National Provider Identifier
1477588762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1590C
- Practice address
- 2707 Browns Lane
Jonesboro, AR 72401 - Phone
- (870) 972-4939
- Fax
- (870) 972-4911
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1590C | AR | Primary |
Addresses
Primary practice location
2707 Browns Lane
Jonesboro, AR 72401
Mailing address
2707 Browns Lane
Jonesboro, AR 72401
Phone (870) 972-4939
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1590C | AR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477588762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 BROWNS LANE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-972-4939",
"fax_number": "870-972-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 BROWNS LANE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-972-4939",
"fax_number": "870-972-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "LINDA",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "1590C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.