Active NPI
Mary Keller Brown, FNP
- Nurse Practitioner
- Vonore, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 20177
- Practice address
- 1206 Highway 411
Vonore, TN 37885-2455 - Phone
- (423) 884-7271
- Fax
- (423) 884-3277
- NPI assigned
- Jul 27, 2015
- Last updated
- Jul 27, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 20177 | TN | Primary |
Addresses
Primary practice location
1206 Highway 411
Vonore, TN 37885-2455
Mailing address
1206 Highway 411
Vonore, TN 37885-2455
Phone (423) 884-7271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1206 Hwy 411
Vonore, TN 37885-2455
Phone (423) 884-7271
3128 Hwy 411
Madisonville, TN 37354
Phone (423) 442-2622
4798 New Hwy 68
Madisonville, TN 37354-1287
Phone (423) 442-2622
PO Box
Suite 278
Madisonville, TN 37354
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20177 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chota Community Health Services | Current | Accepting new patients | |
| Chota Community Health Services | Nurse Practitioner | Current | Accepting new patients |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Chota Community Health Services | Current | Accepting new patients |
Locations
1000 Green Rd
Madisonville, TN 37354
Phone (423) 442-2454
175 Oak Grove Rd
Madisonville, TN 37354
Phone (423) 442-4137
268 Warren St
Madisonville, TN 37354
Phone (423) 442-2236
3128 Highway 411
Madisonville, TN 37354
Phone (423) 442-9230
4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271
414 S High St
Sweetwater, TN 37874
Phone (423) 337-7881
120 Old High School Rd
Tellico Plains, TN 37385
Phone (423) 253-2250
121 Old High School Rd
Tellico Plains, TN 37385
Phone (423) 253-3875
130 Ruritan Rd
Tellico Plains, TN 37385
Phone (423) 261-2241
145 Fifth St
Tellico Plains, TN 37385
Phone (423) 253-6545
395 Daugherty Spring Rd
Tellico Plains, TN 37385
Phone (423) 253-3551
9180 New Highway 68
Tellico Plains, TN 37385
Phone (423) 253-7005
1135 Highway 411
Vonore, TN 37885
1206 Highway 411
Vonore, TN 37885
Phone (423) 884-7271
414 Hall St
Vonore, TN 37885
Phone (423) 884-2730
Interoperability endpoints
- mary.brown@direct.chota.nextgenshare.com
- marybrown@tnmhpf.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Vonore, TN
- NPI 1518912955
-
- Federally Qualified Health Center (FQHC)
- Madisonville, TN
- NPI 1043932700
-
- Family Medicine Physician
- Tellico Plains, TN
- NPI 1407104458
Nurse Practitioner
-
dba CHI Memorial Family Practice Associates - Trenton
- Rural Health Clinic/Center
- Trenton, GA
- NPI 1467602482
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Starr Regional Medical Center
- General Acute Care Hospital
- Athens, TN
- NPI 1669567319
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
-
- General Acute Care Hospital
- Sweetwater, TN
- NPI 1366441370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1730564113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 HIGHWAY 411",
"city": "VONORE",
"state": "TN",
"postal_code": "378852455",
"telephone_number": "423-884-7271",
"fax_number": "423-884-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 HIGHWAY 411",
"city": "VONORE",
"state": "TN",
"postal_code": "378852455",
"telephone_number": "423-884-7271",
"fax_number": "423-884-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MARY",
"middle_name": "KELLER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "20177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vonore, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.