Cynthia Diane Brown, RN, MSN, FNP-C

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Covington, KY

NPI 1750878641 · NPPES record last updated Oct 11, 2024

Key facts

NPI
1750878641
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
APRN.CNP.022607 (OH)
Practice address
926 Spring St
Covington, KY 41016-1655
Phone
(859) 536-8690
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250421002176 OH Order and Referring Only - Nurse Practitioner 7416374798

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71008135AINMDFamily Nurse Practitioner
APRN.CNP.022607OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC Family Medicine Past
since Jul 2, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022607 OH
Family Medicine Physician 207Q00000X 3012278 KY
Family Nurse Practitioner 363LF0000X 71008135A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71008135A IN
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 3012278 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.022607 OH Yes

Addresses

Primary practice location

926 Spring St
Covington, KY 41016-1655

Mailing address

926 Spring St
Covington, KY 41016-1655

Other providers in Covington, KY

All providers in Covington, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.