Active NPI
Telia Brown
- Athletic Trainer
- Niceville, FL
National Provider Identifier
1609427756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1958 Hattie Mae LN
Niceville, FL 32578-3276 - Phone
- (580) 649-1094
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1958 Hattie Mae LN
Niceville, FL 32578-3276
Mailing address
1958 Hattie Mae LN
Niceville, FL 32578-3276
Phone (580) 649-1094
Other practice location 1
504 University Blvd
tuscaloosa, AL 35401-3540
Phone (580) 649-1094
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1609427756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 HATTIE MAE LN",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325783276",
"telephone_number": "580-649-1094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1958 HATTIE MAE LN",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325783276",
"telephone_number": "580-649-1094"
}
],
"practiceLocations": [
{
"address_1": "504 University Blvd",
"address_purpose": "LOCATION",
"city": "tuscaloosa",
"state": "AL",
"postal_code": "354013540",
"country_code": "US",
"telephone_number": "580-649-1094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "TELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.