Active NPI
Michelle Lee Brown, N.P.
- Nurse Practitioner
- Murfreesboro, TN
National Provider Identifier
1609860097
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 19, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 121181
- Practice address
- 905 S Church St
Murfreesboro, TN 37130-4915 - Phone
- (615) 890-4583
- Fax
- (615) 890-4893
- NPI assigned
- Aug 31, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 121181 | TN | Primary |
Addresses
Primary practice location
905 S Church St
Murfreesboro, TN 37130-4915
Mailing address
905 S Church St
Murfreesboro, TN 37130-4915
Phone (615) 890-4583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33479600 | Medicaid | TN |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121181 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Care | Current | Accepting new patients |
Locations
1525 S Church St
Murfreesboro, TN 37130
Phone (615) 217-7236
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Murfreesboro, TN
- NPI 1588851661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1609860097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 S CHURCH ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371304915",
"telephone_number": "615-890-4583",
"fax_number": "615-890-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 S CHURCH ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371304915",
"telephone_number": "615-890-4583",
"fax_number": "615-890-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MICHELLE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "121181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33479600",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.