Individual provider Active NPI

Stacey Deese Brown, ARNP

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1578780508
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3279132 Issued in FL
Practice address
11030 Rca Center Dr
Suite 3015
Palm Beach Gardens, FL 33410-4276
Phone
(561) 776-7041
NPI assigned
Apr 19, 2007
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3279132 FL Primary

Addresses

Primary practice location

11030 Rca Center Dr
Suite 3015
Palm Beach Gardens, FL 33410-4276

Mailing address

371 Magnolia Dr
Jupiter, FL 33458-8379
Phone (561) 575-1769

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3279132FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shapiro and Borenstein Dermatology LLP PastSince Aug 28, 2006 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1578780508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 MAGNOLIA DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588379",
            "telephone_number": "561-575-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR",
            "address_2": "SUITE 3015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "561-776-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STACEY",
        "middle_name": "DEESE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3279132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.