Individual provider Active NPI

Autumn W Brown, MA,PHLEBOTOMIST

  • Phlebotomy Technician
  • Milwaukee, WI
National Provider Identifier
1487476875
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
H7Z3Y8Z4 Issued in WI
Practice address
8917 W Lawrence Ave
Milwaukee, WI 53225
Phone
(262) 336-1371
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X H7Z3Y8Z4 WI Primary

Addresses

Primary practice location

8917 W Lawrence Ave
Milwaukee, WI 53225

Mailing address

6969 N Port Washington Rd
Suite B150
Glendale, WI 53217
Phone (262) 336-1371

Other names 1

  • Autumn Wendy McCloud-Brown Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
H7Z3Y8Z4WIMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1487476875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 N PORT WASHINGTON RD",
            "address_2": "SUITE B150",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "262-336-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8917 W LAWRENCE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53225",
            "telephone_number": "262-336-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AUTUMN",
        "middle_name": "W",
        "credential": "MA,PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "WI",
            "license": "H7Z3Y8Z4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "MCCLOUD-BROWN",
            "middle_name": "WENDY",
            "credential": "MA,PHLEBOTOMIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.