Individual provider Active NPI

Lyndsey Jane Brown, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1699485664
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023437 Issued in CA
Practice address
3880 Murphy Canyon Rd Ste 120
San Diego, CA 92123-4411
Phone
(858) 268-1111
Fax
(858) 268-0761
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023437 CA Primary

Addresses

Primary practice location

3880 Murphy Canyon Rd Ste 120
San Diego, CA 92123-4411

Mailing address

PO Box 421199
San Diego, CA 92142-1199
Phone (858) 268-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010003703 CA Practitioner - Nurse Practitioner 6709231848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Medical Group IncGroup PAC ID 1254325350, 6 clinicians

Practice addresses (Care Compare)

3880 Murphy Canyon Rd
Suite 120
San Diego, CA 92123-4411
Phone (858) 268-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023437CAMDFamily Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1699485664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421199",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921421199",
            "telephone_number": "858-268-1111",
            "fax_number": "858-268-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 MURPHY CANYON RD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234411",
            "telephone_number": "858-268-1111",
            "fax_number": "858-268-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LYNDSEY",
        "middle_name": "JANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.