Active NPI
Shirley Renee Brown
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 28701
- Practice address
- 694 Williams Ave
Memphis, TN 38126-5812 - Phone
- (901) 620-6736
- NPI assigned
- Mar 4, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28701 | TN | Primary |
Addresses
Primary practice location
694 Williams Ave
Memphis, TN 38126-5812
Mailing address
2 Highpointe CV
Atoka, TN 38004-5146
Phone (901) 834-6915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11503 Rocky Valley Dr
Little Rock, AR 72212-3035
Phone (866) 708-1240
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.66 of 100
- Quality
- 87.55
- Improvement activities
- 40
- Cost
- 78.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28701 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Psych Care of Arkansas PA | Current | Accepting new patients | |
| Alliance Healthcare Services | Current | Accepting new patients | |
| Alliance Healthcare Services | Current | Accepting new patients |
Locations
811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400
2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Siloam Springs, AR
- NPI 1437887437
-
- Community/Behavioral Health Agency
- Memphis, TN
- NPI 1295898393
-
- Clinic Pharmacy
- Memphis, TN
- NPI 1912312828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1841885449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HIGHPOINTE CV",
"city": "ATOKA",
"state": "TN",
"postal_code": "380045146",
"telephone_number": "901-834-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "694 WILLIAMS AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381265812",
"telephone_number": "901-620-6736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHIRLEY",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "28701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.