Active NPI
Nancy Russ Brown, ARNP
- Pediatric Nurse Practitioner
- Louisville, KY
National Provider Identifier
1710170477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1031927
- Practice address
- 7926 Preston Hwy Ste 210
Louisville, KY 40219-3848 - Phone
- (502) 371-0022
- Fax
- (502) 394-3620
- NPI assigned
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1031927 | KY | Primary |
Addresses
Primary practice location
7926 Preston Hwy Ste 210
Louisville, KY 40219-3848
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100029910 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbrown60506@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170123001361 | KY | Practitioner - Nurse Practitioner | 4880976125 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1031927 | KY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Community Medical Associates, Inc. | Pediatrics | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Pediatrics | Current | Accepting new patients |
Locations
7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
KY, Pediatrics
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
KY, Pediatrics
-
- Orthopaedic Surgery of the Spine Physician
- Louisville, KY
- NPI 1437382074
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurology with Special Qualifications in Child Neurology Physician
- Louisville, KY
- NPI 1134760796
Pediatrics
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1710170477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7926 PRESTON HWY STE 210",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402193848",
"telephone_number": "502-371-0022",
"fax_number": "502-394-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NANCY",
"middle_name": "RUSS",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "1031927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100029910",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nbrown60506@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "7926 Preston Hwy Ste 210",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402193848",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "7926 Preston Hwy Ste 210",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402193848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.