Individual provider Active NPI

Fallon Eileen Brown, NP

  • Nurse Practitioner
  • Burlington, NC
National Provider Identifier
1942864517
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011730 Issued in NC
Practice address
2977 Crouse LN
Burlington, NC 27215-9480
Phone
(336) 594-4200
NPI assigned
Apr 29, 2019
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011730 NC Primary

Addresses

Primary practice location

2977 Crouse LN
Burlington, NC 27215-9480

Mailing address

1512 Abbotts Creek Cir
Kernersville, NC 27284-3756
Phone (336) 575-4595

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fbrown483701@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190725000575 NC Practitioner - Nurse Practitioner 0749516995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1236 Huffman Mill Rd
Burlington, NC 27215-8700

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

2977 Crouse LN
Burlington, NC 27215-9480
Phone (336) 584-4200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Jun 24, 2019 Accepting new patients
Moses Cone Physician Services Inc Current Accepting new patients
Moses Cone Physician Services, Inc CurrentSince Jun 24, 2019 Accepting new patients
Moses Cone Physician Services, Inc. Past Accepting new patients

Locations

1236 Huffman Mill Rd
Ste 2100
Burlington, NC 27215
Phone (336) 538-7180

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Interoperability endpoints

  • Direct secure messaging: fbrown483701@direct.conehealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1942864517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 ABBOTTS CREEK CIR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843756",
            "telephone_number": "336-575-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159480",
            "telephone_number": "336-594-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "FALLON",
        "middle_name": "EILEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fbrown483701@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2977 Crouse Ln",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272159480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.