Individual provider Active NPI

Salome G. Brown-Burrell, RN

  • Chore Provider
  • Newburgh, NY
National Provider Identifier
1700317641
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
22499619 Issued in NY
Practice address
1101 Parr Meadow Dr
Newburgh, NY 12550-1177
Phone
(845) 561-5812
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 22499619 NY Primary

Addresses

Primary practice location

1101 Parr Meadow Dr
Newburgh, NY 12550-1177

Mailing address

1101 Parr Meadow Dr
Newburgh, NY 12550-1177
Phone (845) 561-5812

Other names 1

  • Salome G Brown-Burrell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250624000962 NY Order and Referring Only - Nurse Practitioner 8123379823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22499619NYMDChore Provider

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1700317641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PARR MEADOW DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501177",
            "telephone_number": "845-561-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PARR MEADOW DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501177",
            "telephone_number": "845-561-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BURRELL",
        "first_name": "SALOME",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NY",
            "license": "22499619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALOME",
            "last_name": "BROWN-BURRELL",
            "middle_name": "G",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.