Active NPI
Deborah Temi Brown
- Community Health Worker
- Bowie, MD
National Provider Identifier
1558622761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 557316459
- Practice address
- 2907 November CT
Bowie, MD 20716-1354 - Phone
- (202) 714-4140
- NPI assigned
- Jun 4, 2012
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 557316459 | DC | Primary |
Addresses
Primary practice location
2907 November CT
Bowie, MD 20716-1354
Mailing address
PO Box 60425
Washington, DC 20039-0425
Phone (202) 714-4140
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 |
|---|---|---|---|
| 557316459 | DC | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1558622761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60425",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200390425",
"telephone_number": "202-714-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 NOVEMBER CT",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161354",
"telephone_number": "202-714-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEBORAH",
"middle_name": "TEMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "DC",
"license": "557316459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.