Individual provider Active NPI

Michelle Elaine Brown-Stephenson, BSN RN, MS, MLS,CHES

  • Registered Nurse
  • Burleson, TX
National Provider Identifier
1750755906
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
631965 Issued in TX
Practice address
1601 Marti Dr
Burleson, TX 76028-6981
Phone
(817) 551-5940
NPI assigned
Nov 25, 2015
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 631965 TX Primary
Continuing Education/Staff Development Registered Nurse 163WC1600X 631965 TX
Diabetes Educator Registered Nurse 163WD0400X 631965 TX
Nutrition Support Registered Nurse 163WN1003X 631965 TX
Health Educator 174H00000X 631965 TX

Addresses

Primary practice location

1601 Marti Dr
Burleson, TX 76028-6981

Mailing address

1601 Marti Dr
Burleson, TX 76028-6981
Phone (817) 551-5940

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
Credentials
Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
631965TXMDDiabetes Educator Registered Nurse

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1750755906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MARTI DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760286981",
            "telephone_number": "817-551-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MARTI DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760286981",
            "telephone_number": "817-551-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-STEPHENSON",
        "first_name": "MICHELLE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "BSN RN, MS, MLS,CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "631965",
            "primary": true
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "631965",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TX",
            "license": "631965",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "TX",
            "license": "631965",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "TX",
            "license": "631965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.