Individual provider Active NPI

Antynette Brown

  • Attendant Care Provider
  • Little Rock, AR
National Provider Identifier
1750050753
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
AR5762 Issued in AR
Practice address
10515 W Markham St Ste I3
Little Rock, AR 72205-2283
Phone
(501) 607-5899
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X AR5762 AR Primary

Addresses

Primary practice location

10515 W Markham St Ste I3
Little Rock, AR 72205-2283

Mailing address

10515 W Markham St Ste I3
Little Rock, AR 72205-2283
Phone (501) 607-5899

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address happyhomecarellc2@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AR5762ARMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1750050753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE I3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052283",
            "telephone_number": "501-607-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE I3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052283",
            "telephone_number": "501-607-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANTYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "AR",
            "license": "AR5762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "happyhomecarellc2@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "10515 W Markham St Ste I3",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722052283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.