Mary J. Brown, R.N., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAT 5987 Issued in HI

Practice address

53 Puuko St
Hilo, HI 96720-1832

Phone

(808) 961-6261

Fax

(808) 961-6261

NPI assigned

Dec 12, 2008

Last updated

Dec 12, 2008By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1538304985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11288",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967216288",
            "telephone_number": "808-961-6261",
            "fax_number": "808-961-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PUUKO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201832",
            "telephone_number": "808-961-6261",
            "fax_number": "808-961-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "J.",
        "credential": "R.N., LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN 48086",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "280777",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT 5987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Michelle Broussard, LMHC
• Janelle Brown-Walkus, DMD
• Casey Brown
• Courtney B Brown
• Eric Brown, RBT
• Ryan P Brown, MD
• Bonny Lynn Brownstein, PHARMD
• Bruce T. Miyashiro, D.D.S., Inc.
• Samantha S Brunker
• Sophia Bullard, MS

• Massage Therapist in Hilo, HI
• Providers in Hilo, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.