NPIMap

Organization Active NPI

Terri Brown Sa-C

  • Surgical Physician Assistant
  • Petersburg, VA
National Provider Identifier
1962681809
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
07-258 Issued in VA
Legal business name
TERRI BROWN SA-C
Practice address
59 Ivy LN
Petersburg, VA 23805-1364
Phone
(804) 862-2975
NPI assigned
Oct 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

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

Authorized official

Name
Miss Terri Lenelle BrownNPI 1437348612
Title
Sa-C
Phone
(804) 862-2975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X 07-258 VA Primary

Addresses

Primary practice location

59 Ivy LN
Petersburg, VA 23805-1364

Mailing address

59 Ivy LN
Petersburg, VA 23805-1364
Phone (804) 862-2975

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193529600000",
    "number": "1962681809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 IVY LN",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051364",
            "telephone_number": "804-862-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 IVY LN",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051364",
            "telephone_number": "804-862-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI BROWN SA-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LENELLE",
        "authorized_official_title_or_position": "SA-C",
        "authorized_official_telephone_number": "804-862-2975",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "07-258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2007; 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.