Active NPI
Brandon D Rowan, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1669436481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 25501
- Practice address
- 1451 Dowell Springs Blvd
Knoxville, TN 37909 - Phone
- (865) 970-9800
- Fax
- (865) 374-7317
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 25501 | TN | Primary |
Addresses
Primary practice location
1451 Dowell Springs Blvd
Knoxville, TN 37909
Mailing address
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone (865) 970-9800
Other practice location 1
4709 Papermill Dr Ste 102
Knoxville, TN 37909-1928
Phone (865) 525-0391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190429001466 | TN | Practitioner - Nurse Practitioner | 4284976945 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25501 | TN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1669436481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 DOWELL SPRINGS BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092441",
"telephone_number": "865-970-9800",
"fax_number": "865-374-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 DOWELL SPRINGS BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-970-9800",
"fax_number": "865-374-7317"
}
],
"practiceLocations": [
{
"address_1": "4709 Papermill Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379091928",
"country_code": "US",
"telephone_number": "865-525-0391",
"fax_number": "865-525-0393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROWAN",
"first_name": "BRANDON",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "25501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.