Shelley C Brown

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

305 Convent Ave Apt 45
New York, NY 10031-6352

Phone

(646) 509-4691

NPI assigned

Jun 19, 2023

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

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1609551613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CONVENT AVE APT 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316352",
            "telephone_number": "646-509-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CONVENT AVE APT 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316352",
            "telephone_number": "646-509-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHELLEY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Olsen Brown, RD, CDN
• Sarah Brown
• Shannon Brown, MFT
• Shaquasia Brown
• Sharayfah Brown, RPA-C
• Shelley Monroe Brown, M.D.
• Shereka A Brown
• Sheridan Brown, NP
• Sidonie Alethe Brown, NP
• Stacie J Brown, LCAT

• Early Intervention Provider Agency in New York, NY
• Providers in New York, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.