Individual provider Active NPI

Nichole Danielle Brown, LPN

  • Licensed Practical Nurse
  • Buffalo, NY
National Provider Identifier
1477886299
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
262368-1 Issued in NY
Practice address
364 Humboldt Pkwy
364 Humboldt Pkwy
Buffalo, NY 14214-2727
Phone
(716) 602-3823
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 262368-1 NY Primary
Licensed Practical Nurse 164W00000X LP040290 AZ

Addresses

Primary practice location

364 Humboldt Pkwy
364 Humboldt Pkwy
Buffalo, NY 14214-2727

Mailing address

364 Humboldt Pkwy
364 Humboldt Pkwy
Buffalo, NY 14214-2727
Phone (716) 602-3823

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
LP040290AZMDLicensed Practical Nurse
262368-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1477886299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 HUMBOLDT PKWY",
            "address_2": "364 HUMBOLDT PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142727",
            "telephone_number": "716-602-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 HUMBOLDT PKWY",
            "address_2": "364 HUMBOLDT PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142727",
            "telephone_number": "716-602-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICHOLE",
        "middle_name": "DANIELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "262368-1",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP040290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.