Active NPI
Neechi Brown
- Licensed Practical Nurse
- Thibodaux, LA
National Provider Identifier
1619445418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 290797
- Practice address
- 303 Hickory St
Thibodaux, LA 70301-2011 - Phone
- (985) 446-2936
- NPI assigned
- Nov 9, 2018
- Last updated
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 290797 | LA | Primary |
Addresses
Primary practice location
303 Hickory St
Thibodaux, LA 70301-2011
Mailing address
303 Hickory St
Thibodaux, LA 70301-2011
Phone (985) 446-2936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295246585 | Other | MERAKEY BEHAVIORAL HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290797 | LA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1619445418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 HICKORY ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012011",
"telephone_number": "985-446-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 HICKORY ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012011",
"telephone_number": "985-446-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NEECHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "290797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERAKEY BEHAVIORAL HEALTH",
"identifier": "1295246585",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.