Jennifer Moree Brown

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

OCPSA.3693 Issued in OH

Practice address

665 W Market St
Akron, OH 44303-1438

Phone

(234) 255-0743

Fax

(330) 379-3465

NPI assigned

Apr 19, 2023

Last updated

Aug 30, 2023By the provider in NPPES

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

Electronic endpoints 1

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1518654797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031438",
            "telephone_number": "234-255-0743",
            "fax_number": "330-379-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031438",
            "telephone_number": "234-255-0743",
            "fax_number": "330-379-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREE BROWN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OH",
            "license": "OCPSA.3693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "moreebrown@aol.com",
            "affiliation": "N",
            "endpointDescription": "665 West Market Street, Akron, OH  44303",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "665 W Market St",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443031438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prevention Professional in Akron, OH
• Providers in Akron, OH by specialty
• Prevention Professional in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.