Active NPI
Erin Brown
- Pediatric Nurse Practitioner
- Cairo, IL
National Provider Identifier
1528656196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2091021649
- Practice address
- 13245 Kessler Rd
Cairo, IL 62914-3101 - Phone
- (618) 734-4400
- Fax
- (618) 477-8557
- NPI assigned
- Jan 8, 2021
- Last updated
- Jan 8, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2091021649 | IL | Primary |
Addresses
Primary practice location
13245 Kessler Rd
Cairo, IL 62914-3101
Mailing address
PO Box 3008
Carbondale, IL 62902-3008
Phone (618) 457-0450
Other practice location 1
290 Railroad St
Tamms, IL 62988-5038
Phone (618) 747-2391
Other practice location 2
1340 Cedar Ct
Carbondale, IL 62901-5336
Phone (618) 457-7821
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erin.brownpa@direct.chesi.nextgenshare.com | Health Information Exchange (HIE) |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2091021649 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health & Emergency Services, Inc. | Past | Accepting new patients | |
| Community Health & Emergency Services, Inc. | Past | Accepting new patients | |
| Community Health & Emergency Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- erin.browncpnp.p1@direct.chesi.nextgenshare.com
- erin.brownpa@direct.chesi.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tamms Health Center
- Federally Qualified Health Center (FQHC)
- Tamms, IL
- NPI 1114919685
-
dba Cedar Court Clinic
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1316939929
-
- Federally Qualified Health Center (FQHC)
- Cairo, IL
- NPI 1710979588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1528656196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3008",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023008",
"telephone_number": "618-457-0450",
"fax_number": "618-457-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13245 KESSLER RD",
"city": "CAIRO",
"state": "IL",
"postal_code": "629143101",
"telephone_number": "618-734-4400",
"fax_number": "618-477-8557"
}
],
"practiceLocations": [
{
"address_1": "290 Railroad St",
"address_purpose": "LOCATION",
"city": "Tamms",
"state": "IL",
"postal_code": "629885038",
"country_code": "US",
"telephone_number": "618-747-2391",
"fax_number": "618-623-0335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1340 Cedar Ct",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629015336",
"country_code": "US",
"telephone_number": "618-457-7821",
"fax_number": "618-529-3862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "2091021649",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erin.brownpa@direct.chesi.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "13245 Kessler Rd",
"city": "Cairo",
"state": "IL",
"country_code": "US",
"postal_code": "629143101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cairo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.