Individual provider Active NPI

Robin Kim Brown, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1750640306
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16604 Issued in TN
Practice address
360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone
(901) 261-2000
Fax
(901) 261-2000
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16604 TN Primary

Addresses

Primary practice location

360 E Eh Crump Blvd
Memphis, TN 38126-5310

Mailing address

360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone (901) 261-2000

Other identifiers 1

IdentifierTypeStateIssuer
1528499MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000752 TN Practitioner - Nurse Practitioner 6608022611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Memphis Health Center, Inc.Group PAC ID 7315859972, 17 clinicians

Practice addresses (Care Compare)

360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone (901) 261-2025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16604TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vogelfanger and Struble Clinic CurrentSince Mar 1, 2013 Accepting new patients

Locations

6005 Park Ave
Ste 630B
Memphis, TN 38119
Phone (901) 767-1136

Interoperability endpoints

  • Direct secure messaging: robin.brown.3@20250.direct.athenahealth.com
  • Direct secure messaging: robin.brown.p1@direct.mphshc.nextgenshare.com
  • Direct secure messaging: robin.brown.1@20250.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1750640306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E EH CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265310",
            "telephone_number": "901-261-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E EH CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265310",
            "telephone_number": "901-261-2000",
            "fax_number": "901-261-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBIN",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528499",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.