Individual provider Active NPI

Angella Faye Brown, RN

  • Registered Nurse
  • North Royalton, OH
National Provider Identifier
1902044191
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
250838 Issued in OH
Practice address
10562 Cambridge Cir
North Royalton, OH 44133-6908
Phone
(440) 390-8167
Fax
(440) 457-7701
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R66437 NM
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 250838 OH Primary

Addresses

Primary practice location

10562 Cambridge Cir
North Royalton, OH 44133-6908

Mailing address

10562 Cambridge Cir
North Royalton, OH 44133-6908
Phone (440) 390-8167

Other identifiers 1

IdentifierTypeStateIssuer
R66437OtherNMRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R66437NMMDRegistered Nurse
250838OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1902044191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10562 CAMBRIDGE CIR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441336908",
            "telephone_number": "440-390-8167",
            "fax_number": "440-457-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10562 CAMBRIDGE CIR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441336908",
            "telephone_number": "440-390-8167",
            "fax_number": "440-457-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGELLA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R66437",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "250838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "R66437",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.