Juana Marissa Brown, RD, LD, MPH, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND3644 Issued in FL

Practice address

4203 Belfort Rd Ste 315
Jacksonville, FL 32216

Phone

(904) 450-6860

NPI assigned

Dec 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Diabetico Internacional, Inc.

  dba Do Well Medical Center

  • Diabetes Educator Registered Nurse
  • Jacksonville, FL
  • NPI 1245554799
  NPD (past)

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1649332362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-296-5691",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 BELFORT RD STE 315",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-450-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JUANA",
        "middle_name": "MARISSA",
        "name_prefix": "Mrs.",
        "credential": "RD, LD, MPH, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "EV261Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica K Brown
• Jocelyne Brown
• John L. Brown, PH.D., BCBA-D, LBA
• Jonathan Casey Brown, DO, MPH
• Joseph Brown
• Kaitlin Jaquett Brown, OD
• Kathleen Marie Brown, APRN,AGPCNP-BC, ANCC
• Katrina Monique Brown, LMHC
• Kayla Nicole Brown, APRN
• Kellease CW Brown, MD

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.