Active NPI
Nykedtra Martin Brown, FNP
- Family Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1811954969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 005001451
- Practice address
- 1002 S Eugene St
Greensboro, NC 27406-1308 - Phone
- (336) 355-9696
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 005001451 | NC | Primary |
Addresses
Primary practice location
1002 S Eugene St
Greensboro, NC 27406-1308
Mailing address
212 Ashton GLN
Durham, NC 27703-9451
Phone (919) 308-4027
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005001451 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Otis Boyette MD | Past | Accepting new patients | |
| Triad Adult and Pediatric Medicine, Inc. | Past | Accepting new patients |
Interoperability endpoints
- nbrown613149@direct.ochin.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Belhaven, NC
- NPI 1083671135
-
- Federally Qualified Health Center (FQHC)
- High Point, NC
- NPI 1629077490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1811954969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 ASHTON GLN",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039451",
"telephone_number": "919-308-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S EUGENE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274061308",
"telephone_number": "336-355-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NYKEDTRA",
"middle_name": "MARTIN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "005001451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.