Individual provider Active NPI

Dawn M Brown, FNP

  • Family Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1891734000
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200850089NP Issued in OR
Practice address
382 S 58TH St Ste B
Springfield, OR 97478-7623
Phone
(541) 747-4858
Fax
(541) 747-8351
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200850089NP OR Primary

Addresses

Primary practice location

382 S 58TH St Ste B
Springfield, OR 97478-7623

Mailing address

1543 Larkspur Loop
Eugene, OR 97401-7266
Phone (541) 521-8749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20231016001839 OR Order and Referring Only - Nurse Practitioner 0749277705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elderhealth & Living Current Accepting new patients
TSL Springfield Operating, LLC CurrentSince Jul 27, 2020 Accepting new patients

Locations

382 S 58th St
Ste B
Springfield, OR 97478
Phone (541) 747-4858

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11162/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dawn.brown.1@11162.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1891734000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 LARKSPUR LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017266",
            "telephone_number": "541-521-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 S 58TH ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974787623",
            "telephone_number": "541-747-4858",
            "fax_number": "541-747-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200850089NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.