Siana Brown, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R185973 Issued in MD

Practice address

501 E Naylor Mill Rd Unit C
Salisbury, MD 21804-2278

Phone

(443) 345-2275

Fax

(443) 300-9504

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Table Rock Integrated Health and Wellness Practice, LLC.Group PAC ID 0648462333, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Table Rock Integrated Health and Wellness Practice, LLC.

  • Psychiatry Physician
  • Travelers Rest, SC
  • NPI 1104145184
  Medicare reassignment Care Compare group NPD
• Mental Wealth Psychiatric Services, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Salisbury, MD
  • NPI 1255195152
  NPD Authorized official

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1710670864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 TOWNE CENTRE BLVD STE 250",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013599",
            "telephone_number": "443-345-2275",
            "fax_number": "443-300-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E NAYLOR MILL RD UNIT C",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042278",
            "telephone_number": "443-345-2275",
            "fax_number": "443-300-9504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Center St",
            "address_purpose": "LOCATION",
            "city": "Travelers Rest",
            "state": "SC",
            "postal_code": "296901826",
            "country_code": "US",
            "telephone_number": "864-908-6372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SIANA",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018627",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27528",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185973",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221043600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Elizabeth Brown, LCSWC MSW
• Jennifer Denise Brown, BA
• Lori Smith Brown
• Meghan Tenore Brown, M.S. SLP
• Patricia Annette Brown, LCSW-C
• Timeca C Brown, DC
• Bruce C. Winnacott M.D., P.a.
• Shirley Jean Bruner, LCSWC
• Samantha Elizabeth Bryant, PHARMD
• BTS Medical Transport L.L.C

• Psychiatric/Mental Health Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.