Lysamarie Brown

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0000073085 Issued in TN

Practice address

142 Redmon Rd
Wartburg, TN 37887-4100

Phone

(865) 806-6016

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jul 9, 2021.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1952972093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 REDMON RD",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874100",
            "telephone_number": "865-806-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 REDMON RD",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874100",
            "telephone_number": "865-806-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LYSAMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "0000073085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Haven Blalock, RN
• Jeremy Bonnell
• Connie G Bradley, L.C.S.W.
• Martha Broaddus, FNP
• Julie H Brown, PHARMD
• Rebecca Kelly Cardona, LPC-MHSP, PHD
• Gregory Allen Casalenuovo, PHD, FNP
• James D Chapman, DDS
• Kenneth R Clowers, P.T.
• Dayna Collins, PTA

• All providers in Wartburg, TN
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.