Active NPI
Clovis Jean Brown
- Licensed Vocational Nurse
- Grand Saline, TX
National Provider Identifier
1518467471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 162725
- Practice address
- 2589 VZCR 1605
Grand Saline, TX 75140-5473 - Phone
- (903) 714-8283
- NPI assigned
- Feb 17, 2018
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 162725 | TX | Primary |
Addresses
Primary practice location
2589 VZCR 1605
Grand Saline, TX 75140-5473
Mailing address
2589 VZCR 1605
Grand Saline, TX 75140-5473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164X00000X | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 162725 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518825600000",
"number": "1518467471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2589 VZCR 1605",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751405473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2589 VZCR 1605",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751405473",
"telephone_number": "903-714-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CLOVIS",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-17",
"last_updated": "2018-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "162725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164X00000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Saline, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.