Maundretta Monique Brown

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

362590609108 Issued in MI

Practice address

15904 La Salle Blvd
Detroit, MI 48238-1483

Phone

(313) 556-6809

NPI assigned

Aug 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1508696725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15904 LA SALLE BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381483",
            "telephone_number": "313-556-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15904 LA SALLE BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381483",
            "telephone_number": "313-556-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MAUNDRETTA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "362590609108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Brown, CAC-M
• Mariam Brown
• Mark William Brown II
• Mary Frances Brown
• Matthew Brown, LLMSW
• Megan Brown, LLMSW
• Michael Brown, MD
• Michael C Brown
• Michael David Brown, DDS
• Mignonette L Brown

• Non-emergency Medical Transport (VAN) in Detroit, MI
• Providers in Detroit, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.