Bonnie Brown, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

214031 Issued in CA

Practice address

5 Nikki CT
Elk Grove, CA 95758-6758

Phone

(916) 803-0458

NPI assigned

Mar 3, 2014

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

Other names 1

• Ms. Bonnie Brown Other name

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": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1558786335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 VALLEY HI DR",
            "address_2": "#337",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958237017",
            "telephone_number": "916-399-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NIKKI CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586758",
            "telephone_number": "916-803-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "214031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "BROWN",
            "prefix": "MS.",
            "credential": "LVN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leonida Lopez Brooks, LVN
• Joel-David Broussard II
• Alyssa Marie Broussard
• Kimberly Lynette Brown-Brinson
• Anthony Costell Brown, BT
• Breanna Brown
• Carly Hope Brown
• Deidra Brown
• Kimberly Brown
• La'Tia Brown

• Licensed Vocational Nurse in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.