Carolyn Brown, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R137611 Issued in MD

Practice address

919 University Blvd W
Silver Spring, MD 20901-1055

Phone

(240) 740-6952

NPI assigned

Dec 29, 2019

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Beth Tievy Former name

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.brown.p1@direct.mcg-hhs.nextgenshare.com

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.

• Community Clinic, Inc.

  dba CCI Health Services

  • Federally Qualified Health Center (FQHC)
  • Takoma Park, MD
  • NPI 1790730281

  DC

  Medicare reassignment NPD
• Community Clinic, Inc

  dba CCI Ora Glen Pharmacy

  • Community/Retail Pharmacy
  • Greenbelt, MD
  • NPI 1295560878
  NPD
• Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gaithersburg, MD
  • NPI 1699817775
  NPD (past)

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1811536568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14075 PATTERSON FARM CT",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379768",
            "telephone_number": "303-818-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 UNIVERSITY BLVD W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011055",
            "telephone_number": "240-740-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAROLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-29",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R137611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "TIEVY",
            "middle_name": "BETH",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abbigail May Brown, M.A., BCBA
• Abigail Brown, PTA
• Alison Gwendolyn Mary Brown, PHD, RDN
• Alleyiana J Brown, M.S. CCC-SLP
• Amia Brown
• David Nathaniel Brown, LCSW-C
• Deborah Carol Brown
• Denise Brown, LMSW
• Elijah Brown
• Jacqueline Brown, DDS, MS

• Family Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.