Kimberly Rene Brown

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

48052 Issued in NM

Practice address

Corner Route 7 and Route 12
Fort Defiance, AZ 86504

Phone

(505) 697-7540

NPI assigned

Nov 25, 2022

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

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1700596285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 CIELITO LINDO NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER ROUTE 7 AND ROUTE 12",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "505-697-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "corner route 7 and route 12",
            "address_purpose": "LOCATION",
            "city": "fort defiance",
            "state": "AZ",
            "postal_code": "86504",
            "country_code": "US",
            "telephone_number": "505-697-7540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NM",
            "license": "48052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fdihb.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "corner route 7 and route 12",
            "city": "fort defiance",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "865048711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Lynn Brokschmidt, MD
• Lillian Bronson, APRN
• Linda Brown Trudel, MD
• Cleveland Brown IV
• Jason Andrew Brown, MD
• Wyatt Brown, PA-C
• Mark Anthony Bruno, RN
• Loretta Ruth Brutz, BA MED MS
• Samantha Jewel Bryant, RT
• Russell Buford, LP

• Emergency Registered Nurse in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Emergency Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.