Nordian Shanae Brown

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN110045 Issued in FL

Practice address

200 S Park Rd Ste 200
Hollywood, FL 33021-8541

Phone

(850) 567-7993

NPI assigned

Nov 19, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Global Open Wound Care PLLCGroup PAC ID 8921475294, 14 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 and National Provider Directory roles.

• Global Open Wound Care PLLC

  • Family Nurse Practitioner
  • Southlake, TX
  • NPI 1720701659

  FL, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Renew Wound Care of Florida LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1811631591

  Multi-Specialty

  Medicare reassignment NPD
• Global Open Wound Care Services LLC

  • Internal Medicine Physician
  • Gretna, NE
  • NPI 1932987864

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1720624372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 SLEEPY HILL OAKS LOOP",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103558",
            "telephone_number": "850-567-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S PARK RD STE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218541",
            "telephone_number": "850-567-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NORDIAN",
        "middle_name": "SHANAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN110045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "3814 Sleepy Hill Oaks Loop",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338103558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia N Brown, LCSW
• Dene Yvette Brown, SLP-CCC
• Edward Brown, D.M.D
• Gary O'Rian Brown, M.D.
• Keiron Brown, PSY.D.
• Scott Edward Brown, PHARM D
• Stuart B Brown, MD
• Tamara Brown
• Christine M Browne, ARNP
• Janina Tandoc Browne, PA

• Primary Care Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.