Individual provider Active NPI

Jessica Brown, ARNP

  • Women's Health Nurse Practitioner
  • Coeur D Alene, ID
National Provider Identifier
1841690989
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP-1492A Issued in ID
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

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204002383 ID Practitioner - Nurse Practitioner 9436474988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coeur Obstetrics and Gynecology, PLLC CurrentSince Nov 22, 2014 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72467
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.