Individual provider Active NPI

Megan T Brown, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bothell, WA
National Provider Identifier
1750713723
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60403803 Issued in WA
Practice address
19803 N Creek Pkwy Ste 205
Bothell, WA 98011-5014
Phone
(206) 947-3167
Fax
(425) 481-2157
NPI assigned
Aug 1, 2013
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60403803 WA Primary

Addresses

Primary practice location

19803 N Creek Pkwy Ste 205
Bothell, WA 98011-5014

Mailing address

3612 NE 189TH PL
Lake Forest Park, WA 98155-2653
Phone (206) 367-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20131105000382 WA Practitioner - Nurse Practitioner 6305071044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19803 N Creek Pkwy
Suite 205
Bothell, WA 98011-5014
Phone (206) 947-3167

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Megan T. Brown, Arnp, PLLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

19803 North Creek Pkwy
Ste 205
Bothell, WA 98011
Phone (206) 947-3167

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1750713723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 NE 189TH PL",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981552653",
            "telephone_number": "206-367-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19803 N CREEK PKWY STE 205",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115014",
            "telephone_number": "206-947-3167",
            "fax_number": "425-481-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MEGAN",
        "middle_name": "T",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60403803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.