Tina Brown

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

316033-31 Issued in WI

Practice address

211 Spring St
Fox Lake, WI 53933-8034

Phone

(920) 763-4022

NPI assigned

Aug 8, 2012

Last updated

Aug 8, 2012By the provider in NPPES

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

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1578810685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539330380",
            "telephone_number": "920-763-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SPRING ST",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539338034",
            "telephone_number": "920-763-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "316033-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Adelmeyer
• Agnesian Healthcare Inc (Fond Du Lac Regional Clinic)
• Christopher Paul Brooks, DDS
• Comfortably Human Wellness
• Consultants Laboratory of Wisconsin, LLC
• Teresa Cramer-McDonald, NP,APNP
• Stacy Dahlke, LPC
• Amy Denneau, NP

• Licensed Practical Nurse in Fox Lake, WI
• Providers in Fox Lake, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.