Kenneth Brown
Individual provider Active NPI Occupational Health Nurse Practitioner · Lynchburg, TN
NPI 1689455339 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1689455339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Health Nurse Practitioner 363LX0106X
- License
- 34516 (TN)
- Practice address
- 445 Crest Dr
Lynchburg, TN 37352-7068 - Phone
- (615) 305-7776
- NPI assigned
- Oct 9, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Crossroads Urgent Care PLLC
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
1802 N Jackson St
Suite 850
Tullahoma, TN 37388-8237
Phone (931) 563-5501
4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250625000463 | TN | Practitioner - Nurse Practitioner | 6800308834 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34516 | TN | MD | Occupational Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Cardiology & Vascular Associates | Current |
Accepting new patients | |
| Crossroads Urgent Care PLLC | Current |
Accepting new patients | |
| Crossroads Urgent Care PLLC | Current |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
650 S Jefferson Ave
Ste 101
Cookeville, TN 38501
Phone (931) 303-0958
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
1801 N Jackson St
Ste 100
Tullahoma, TN 37388
Phone (931) 393-7831
1802 N Jackson St
Ste 850
Tullahoma, TN 37388
Phone (931) 563-5501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 34516 | TN | Yes |
Addresses
Primary practice location
445 Crest Dr
Lynchburg, TN 37352-7068
Mailing address
445 Crest Dr
Lynchburg, TN 37352-7068
Phone (615) 713-8292
Other providers in Lynchburg, TN
- Rachel Ann Anderson
- Ardent Healthcare
- Atkinson Family Dentistry, P.C.
- Dalton Barrier
- Sara Elizabeth Bates
- Conan M Carter
- Dee Ann Flippo
- Emma Gammill
- Robert W Gray
- Deborah Hart
All providers in Lynchburg, TN · Occupational Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.