Jacquelyn Brown, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

45170 Issued in SC

Practice address

2 Corpus Christie PL Ste 200
Hilton Head Island, SC 29928-1712

Phone

(843) 350-2680

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Home Sweet Home in-Home Care Services

  • In Home Supportive Care Agency
  • Bluffton, SC
  • NPI 1730642497
  NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1700470259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2026",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299102026",
            "telephone_number": "843-350-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPUS CHRISTIE PL STE 200",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299281712",
            "telephone_number": "843-350-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Buck Island",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299102991",
            "country_code": "US",
            "telephone_number": "843-227-0485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACQUELYN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "45170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@homesweetinhomecare.com",
            "affiliation": "Y",
            "affiliationName": "Home Sweet Home In-Home Care Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "299 Buck Island",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299102991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenae Bretsch, OTR/L
• William John Brian, M.D.
• Scott Briant
• Broad River Primary Care LLC
• Rick Thomas Brooke, NBS,HIS
• Sharon Marley Brown, OTR
• Charles Buist, D.M.D.
• David P Burke, RPH
• Timothy Steven Burke, R.PH., FASCP, CGP
• Lindsay Burns, LPC

• Licensed Practical Nurse in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.