Individual provider Active NPI

Natalie Brown, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1609315324
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8118 Issued in AZ
Practice address
16611 S 40TH St Ste 120
Phoenix, AZ 85048-0563
Phone
(480) 706-4100
Fax
(480) 706-2600
NPI assigned
Feb 14, 2017
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8118 AZ Primary

Addresses

Primary practice location

16611 S 40TH St Ste 120
Phoenix, AZ 85048-0563

Mailing address

16611 S 40TH St Ste 120
Phoenix, AZ 85048-0563
Phone (480) 706-4100

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20201104003137 AZ Practitioner - Physician Assistant 1658656954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kachina Family Practice PAGroup PAC ID 3274427802, 4 clinicians

Practice addresses (Care Compare)

16611 S 40TH St
Suite 120
Phoenix, AZ 85048-0562

16611 S 40TH St
Suite 120
Phoenix, AZ 85048-0563
Phone (480) 706-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Associates P a DTD PastSince Sep 13, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: natalie.brown.1@27126.direct.athenahealth.com

Organizations & group practices 2

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1609315324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16611 S 40TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480563",
            "telephone_number": "480-706-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16611 S 40TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480563",
            "telephone_number": "480-706-4100",
            "fax_number": "480-706-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NATALIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2020-10-16",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.