Individual provider Active NPI

Erin Brown

  • Pediatric Nurse Practitioner
  • Cairo, IL
National Provider Identifier
1528656196
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2091021649 Issued in IL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
2091021649ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: erin.browncpnp.p1@direct.chesi.nextgenshare.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.