Individual provider Active NPI

Mary Patricia Brown, C.N.M.

  • Advanced Practice Midwife
  • Chapel Hill, NC
National Provider Identifier
1972556140
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
486 Issued in NC
Practice address
930 Martin Luther King Jr Blvd
Suite 202
Chapel Hill, NC 27514-2656
Phone
(919) 933-3301
Fax
(919) 933-3375
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X 486 NC
Advanced Practice Midwife 367A00000X 486 NC Primary

Addresses

Primary practice location

930 Martin Luther King Jr Blvd
Suite 202
Chapel Hill, NC 27514-2656

Mailing address

930 Mating Luther King Jr. Blvd.
Suite 202
Chapel Hill, NC 27851-2656
Phone (919) 933-3301

Other identifiers 1

IdentifierTypeStateIssuer
700091MedicaidNC

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
486NCMDFamily Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1972556140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MATING LUTHER KING JR. BLVD.",
            "address_2": "SUITE 202",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "278512656",
            "telephone_number": "919-933-3301",
            "fax_number": "191-933-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 202",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142656",
            "telephone_number": "919-933-3301",
            "fax_number": "919-933-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "NC",
            "license": "486",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.