Alexis Quadizjah Brown

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

91901 Issued in NC

Practice address

250 Shady Grove Rd
Kings Mountain, NC 28086-9670

Phone

(980) 317-0560

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1922853183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SHADY GROVE RD",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280869670",
            "telephone_number": "980-317-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SHADY GROVE RD",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280869670",
            "telephone_number": "980-317-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALEXIS",
        "middle_name": "QUADIZJAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "91901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katay C Bouttamy, D.O.
• Laura Propst Boyd, PHARMD
• Kristin Neely Bradley, OTR
• Lindsey Bridges, RN, BCEN
• Felice Hightower Britt, LCMHCS
• Michaela Kennedy Brown, PA-C
• Stephanie Hammes Brown, PA
• Vera Louise-Sharon Brown, LCSWA
• Bryan S Baker DDS and Stephen a Baker DDS PA (Baker Dental Care)
• Burris Family Paying It Forward Home Care LLC

• Licensed Practical Nurse in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.