Susan A Brown, ARDMS

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

14307 Issued in FL

Practice address

501 NW Lake Whitney PL
Suite #106
Port St Lucie, FL 34986-1615

Phone

(772) 785-8000

Fax

(772) 785-8150

NPI assigned

Jul 31, 2009

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 identifiers 2

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1609007194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW LAKE WHITNEY PL",
            "address_2": "SUITE #106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861615",
            "telephone_number": "772-785-8000",
            "fax_number": "772-785-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW LAKE WHITNEY PL",
            "address_2": "SUITE #106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861615",
            "telephone_number": "772-785-8000",
            "fax_number": "772-785-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "ARDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "14307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "V2026",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510001100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenella Jenese Brown, MCAP, RMHCI
• Johanna Brown
• Jon Robert Brown, DO
• Rosemary Anne Brown, RN
• Shawn Brown, APRN
• Ugent Brown
• Kristina Browner
• Cheryl Ann Browning, ARNP
• Perry Bruder, MD
• Valerie Bruno Rivera, PHARMD

• Sonography Radiologic Technologist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Sonography Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.