Individual provider Active NPI

Teara Henry-Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • Voorhees, NJ
National Provider Identifier
1578018933
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00813900 Issued in NJ
Practice address
100 Bowman Dr FL 2
Voorhees, NJ 08043-9612
Phone
(856) 988-6260
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN599847 PA
Certified Registered Nurse Anesthetist 367500000X RN599847 PA
Certified Registered Nurse Anesthetist 367500000X 921238 TX
Certified Registered Nurse Anesthetist 367500000X 26NJ00813900 NJ Primary

Addresses

Primary practice location

100 Bowman Dr FL 2
Voorhees, NJ 08043-9612

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Other practice location 1

100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-5800

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address thenrybrown93634@directvirtua.org
Direct Messaging Address thenrybrown93634@directvirtua.org
Direct Messaging Address thenrybrown93634@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123003532 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880981042 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN599847PAMDRegistered Nurse
26NJ00813900NJMDCertified Registered Nurse Anesthetist
921238TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Agcny Physicians PLLC CurrentSince Jan 1, 2025 Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 9, 2023 Accepting new patients
Chag Anesthesia PC CurrentSince Jan 1, 2025 Accepting new patients
Syracuse ASC LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2025 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

100 Bowman Dr
Fl 2
Voorhees, NJ 08043
Phone (856) 247-3000

260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091

4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1578018933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOWMAN DR FL 2",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439612",
            "telephone_number": "856-988-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hillcrest Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767128897",
            "country_code": "US",
            "telephone_number": "254-202-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY-BROWN",
        "first_name": "TEARA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN599847",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN599847",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "921238",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00813900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thenrybrown93634@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Rd",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thenrybrown93634@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr Fl 2",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thenrybrown93634@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste D160",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.