Active NPI
Jessica Brown, ARNP
- Women's Health Nurse Practitioner
- Coeur D Alene, ID
National Provider Identifier
1841690989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP-1492A
- Practice address
- 980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668 - Phone
- (208) 765-4888
- Fax
- (208) 667-8618
- NPI assigned
- Aug 26, 2014
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP-1492A | ID | Primary |
Addresses
Primary practice location
980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668
Mailing address
980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668
Phone (208) 765-4888
Other practice location 1
980 W Ironwood Dr Ste 304
Coeur D Alene, ID 83814-2668
Phone (208) 765-4888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coeur Obstetrics and Gynecology, PLLC | Current | Accepting new patients |
Locations
980 W Ironwood Dr
Ste 304
Coeur D Alene, ID 83814
Phone (208) 765-4888
980 W Ironwood Dr
Ste 201
Coeur D Alene, ID 83814
Phone (208) 292-1315
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72467
- jessica.brown@coeurobgyn.directbygreenway.com
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.
-
- Specialist
- Coeur D Alene, ID
- NPI 1730280744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1841690989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 W IRONWOOD DR STE 201",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142668",
"telephone_number": "208-765-4888",
"fax_number": "208-667-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 W IRONWOOD DR STE 201",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142668",
"telephone_number": "208-765-4888",
"fax_number": "208-667-8618"
}
],
"practiceLocations": [
{
"address_1": "980 W Ironwood Dr Ste 304",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838142668",
"country_code": "US",
"telephone_number": "208-765-4888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JESSICA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ID",
"license": "NP-1492A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.