Sara Elizabeth Brown, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014044251 Issued in MO

Practice address

2400 Lucy Lee Pkwy
Suite a
Poplar Bluff, MO 63901-2429

Phone

(573) 686-1144

Fax

(573) 686-3312

NPI assigned

Jan 5, 2015

Last updated

Jan 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Austin R Tinsley

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1568434520
  Medicare reassignment
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Tinsley Medical Clinic

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1558323386
  NPD (past)

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1568850147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LUCY LEE PKWY",
            "address_2": "SUITE A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012429",
            "telephone_number": "573-686-1144",
            "fax_number": "573-686-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LUCY LEE PKWY",
            "address_2": "SUITE A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012429",
            "telephone_number": "573-686-1144",
            "fax_number": "573-686-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014044251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ranee Brown, AGNP-BC
• Kimbrelly Rose Brown
• Leann Arlene Brown
• Letisha Brown
• Patricia Marie Brown
• David Melvin Bruce
• Jassmine Bruce
• Melissa Faye Bruce, AA
• Stacey E Bruce, LCSW
• Linda Lee Lindsey Bruns, LCSW

• Family Nurse Practitioner in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.