Active NPI
Joanne S Brower, RN, MSN, FNP-C
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1801882543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP22421
- Practice address
- 10300 Compton Ave
Los Angeles, CA 90002-3628 - Phone
- (323) 564-4331
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP22421 | CA | Primary |
Addresses
Primary practice location
10300 Compton Ave
Los Angeles, CA 90002-3628
Mailing address
2321 W 164TH St
Torrance, CA 90504-1508
Phone (616) 446-6698
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JB202487 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4682061-10 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22421 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| NP22421 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1801882543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 W 164TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905041508",
"telephone_number": "616-446-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 COMPTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023628",
"telephone_number": "323-564-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWER",
"first_name": "JOANNE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "RN, MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP22421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "JB202487",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4682061-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.