Asadra Sue Brown, PMH/NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201352 Issued in NC

Practice address

732 Hoyles Orchard Rd
Old Fort, NC 28762-5600

Phone

(828) 668-9478

Fax

(828) 668-9478

NPI assigned

May 10, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universal Mental Health Services, Inc

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1164784203
  NPD (past)
• Universal Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Morganton, NC
  • NPI 1184761652
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700836111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 HOYLES ORCHARD RD",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287625600",
            "telephone_number": "828-668-9478",
            "fax_number": "828-668-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HOYLES ORCHARD RD",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287625600",
            "telephone_number": "828-668-9478",
            "fax_number": "828-668-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ASADRA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "PMH/NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12767",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6113019",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00006471",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAID",
            "identifier": "QNP016",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonja M. Allison, SLP - CCC
• Tiffany Renee Beam
• Jossalin Davis Bouchillon
• Sheyenne Branch
• Carolina Supportive Living LLC
• Carolina Supportive Living LLC
• Sean M Carter, RBT
• Katherine Alice Cennamo, LCSW
• Shawn Kudrik Costanzo, RN

• Psychiatric/Mental Health Nurse Practitioner in Old Fort, NC
• Providers in Old Fort, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.