Active NPI
Nancy Staten Brown
- Case Management Agency
- Winter Haven, FL
National Provider Identifier
1689423485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 610 Hart Lake Dr
Winter Haven, FL 33884-4145 - Phone
- (734) 716-8840
- NPI assigned
- May 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
610 Hart Lake Dr
Winter Haven, FL 33884-4145
Mailing address
610 Hart Lake Dr
Winter Haven, FL 33884-4145
Phone (734) 716-8840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2024.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1689423485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 HART LAKE DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338844145",
"telephone_number": "734-716-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 HART LAKE DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338844145",
"telephone_number": "734-716-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NANCY",
"middle_name": "STATEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.