Individual provider Active NPI

Markitta A Brown, APRN, FNP-DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
National Provider Identifier
1992157002
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3010485 Issued in KY
Practice address
60 Bennett Cir
London, KY 40741-2842
Phone
(606) 682-2439
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021029170 KY
Primary Care Nurse Practitioner 363LP2300X 3010485 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3010485 KY Primary

Addresses

Primary practice location

60 Bennett Cir
London, KY 40741-2842

Mailing address

53 Old Salem Rd
London, KY 40741-6722
Phone (606) 682-2439

Other practice location 1

375 Town Branch Rd Ste 2
Manchester, KY 40962-1326
Phone (606) 598-0070

Other identifiers 1

IdentifierTypeStateIssuer
7100433400MedicaidKY

Other names 1

  • Markitta Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170123001111 KY Practitioner - Nurse Practitioner 2668754995 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapeutic Solutions of Corbin LLC 8 clinicians

Practice addresses (Care Compare)

415 S Main St
Corbin, KY 40701-1459
Phone (606) 261-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021029170KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions of Corbin, LLC CurrentSince Oct 1, 2024 Accepting new patients
Pyma Medical PLLC CurrentSince Dec 5, 2016 Accepting new patients
Fuse Medical CurrentSince Sep 13, 2022 Accepting new patients
Physicians Express Care Billing Past Accepting new patients
Therapeutic Solutions Past Accepting new patients

Locations

415 S Main St
Corbin, KY 40701
Phone (606) 215-3832

148 London Mountain View Dr
Ste 4
London, KY 40741
Phone (606) 878-1181

1380 Highway 192 E
Ste B
London, KY 40741

2135 Highway 30 Byp
Ste 2
London, KY 40741
Phone (606) 877-4560

93 C V B Dr
London, KY 40741
Phone (606) 878-1181

73 Thompson Poynter Rd
Ste A
London, KY 40741
Phone (606) 657-5912

43 Waco Dr
London, KY 40741
Phone (606) 770-5161

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1992157002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OLD SALEM RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416722",
            "telephone_number": "606-682-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BENNETT CIR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412842",
            "telephone_number": "606-682-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Town Branch Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409621326",
            "country_code": "US",
            "telephone_number": "606-598-0070",
            "fax_number": "844-273-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARKITTA",
        "middle_name": "A",
        "credential": "APRN, FNP-DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "2021029170",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3010485",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3010485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100433400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARKITTA",
            "last_name": "BROWN",
            "credential": "APRN, DNP, PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.