Active NPI
Shane Nolan Brown, MSN, FNP-C
- Family Nurse Practitioner
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5018555
- Practice address
- 327 1St Ave NW
Hickory, NC 28601-6122 - Phone
- (828) 695-5900
- Fax
- (828) 695-4256
- NPI assigned
- May 29, 2023
- Last updated
- Oct 8, 2024
- Sex
- Male
- 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 | 5018555 | NC | Primary |
Addresses
Primary practice location
327 1St Ave NW
Hickory, NC 28601-6122
Mailing address
327 1St Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
327 1St Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018555 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Therapeutic Services, Inc | Current | Accepting new patients | |
| The Mental Health Fund Inc | Current | Accepting new patients | |
| Carolina Therapeutic Services, Inc | Current | Accepting new patients | |
| The Mental Health Fund Inc | Current | Accepting new patients |
Locations
1528 Union Rd
Gastonia, NC 28054
Phone (828) 758-1320
1528 Union Rd
Ste B
Gastonia, NC 28054
Phone (828) 758-1320
1781 Tate Blvd SE
Ste 202
Hickory, NC 28602
Phone (828) 328-4398
1940 3rd Avenue Ln SE
Hickory, NC 28602
Phone (704) 999-1739
327 1st Ave NW
Hickory, NC 28601
Phone (828) 695-2125
Organizations & group practices 4
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.
-
dba Catawba Valley Behavioral Healthcare
- Mental Health Counselor
- Hickory, NC
- NPI 1962478362
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1720247570
-
dba Catawba Valley Healthcare
- Family Medicine Physician
- Hickory, NC
- NPI 1811313356
-
dba Chicago Therapeutic Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1881468197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1831882745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 1ST AVE NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286016122",
"telephone_number": "828-695-5900",
"fax_number": "828-695-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 1ST AVE NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286016122",
"telephone_number": "828-695-5900",
"fax_number": "828-695-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHANE",
"middle_name": "NOLAN",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-29",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5018555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.