GINA MONIQUE BROWN (NPI# 1285129544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285129544 |
| Entity Type | Individual |
| Full Name | GINA MONIQUE BROWN |
| Credential | FNP |
| Practice Address |
1570 Waverly Rd Kingsport TN 37664-2523 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4232241300 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024176016 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000024226 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295881977 | Gina M Brown | Dermatology | 3340 Providence Dr Ste A358, Anchorage, AK 99508-4691 | 2007-01-26 |
| 1265538110 | Gina Brown | Physician Assistant | 3701 E 13th St N Bldg 400, Wichita, KS 67208-2081 | 2006-09-16 |
| 1710080122 | Gina Lynn Brown | Chiropractor | 721 W Whittier Blvd Ste C, La Habra, CA 90631-3771 | 2006-09-07 |
| 1285258558 | Gina R Brown | Radiology | 104 W 33rd St, Kearney, NE 68847-2959 | 2020-06-02 |
| 1316409766 | Gina Brown | Speech-Language Pathologist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-04-04 |
| 1598234213 | Gina Brown | Behavior Technician | 2110 E Flamingo Rd Ste 150, Las Vegas, NV 89119-5190 | 2018-11-26 |
| 1023423498 | Gina Brown | Pharmacist | 902 Pelham Rd, Greenville, SC 29615-3639 | 2014-06-24 |
| 1881034411 | Gina L Brown | Occupational Therapist | 626 Trail Ave, Frederick, MD 21701-4934 | 2013-06-27 |
| 1336582741 | Gina Brown | Anesthesiology | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2013-04-16 |
| 1487921847 | Gina Marie Brown | Registered Nurse | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 | 2011-11-29 |
| Street Address |
1570 WAVERLY RD |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356372007 | Mary Kathleen O'keeffe | Marriage & Family Therapist | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2006-07-05 |
| 1386257103 | Elizabeth L. Mcfarland | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-08-31 |
| 1902428014 | Necole L Richardson | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-05-12 |
| 1922635671 | Calantrica Hunt | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-03-24 |
| 1497217616 | Kerri Elyse Paulsen | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2019-04-05 |
| 1205303674 | Beatrice Sharon Herbert | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-10-24 |
| 1508333972 | Heather Nicole Hudson | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-10-24 |
| 1093296048 | Matthew Andrews | Social Worker | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-08-28 |
| 1710482849 | Amber Michelle Anzalone | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-03-29 |
| 1487180949 | John Logan Tindell | Marriage & Family Therapist | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2017-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911202 | Felicia Grace Berry | Nurse Practitioner | 2204 Pavilion Dr Ste 210, Kingsport, TN 37660-4652 | 2020-01-23 |
| 1205399508 | Michael David Thacker | Nurse Practitioner | 100 Clinchfield St, Kingsport, TN 37660-3681 | 2019-04-12 |
| 1871058263 | Lisa Marie Ketchem | Nurse Practitioner | 5039 Andrew St, Kingsport, TN 37660-6500 | 2019-02-10 |
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1720542376 | Amanda Michelle Oliver | Nurse Practitioner | 404 Manor Dr Apt F, Kingsport, TN 37660-3471 | 2019-01-29 |
| 1750857439 | Ashlee Fleming | Nurse Practitioner | 105 W Stone Dr Ste 4c, Kingsport, TN 37660-3365 | 2018-10-19 |
| 1497220214 | Melanie Creppel Bourgeois | Nurse Practitioner | 4606 Sundown Dr, Kingsport, TN 37664-6913 | 2018-10-08 |
| 1013493147 | Cathy A Greenwood | Nurse Practitioner | 3136 Winesap Rd, Kingsport, TN 37663-2920 | 2018-07-11 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1235641630 | Bethany Monique Rock | Nurse Practitioner | 3716 Thorngrove Dr, Kingsport, TN 37660-2243 | 2017-10-26 |
| Find all providers in KINGSPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.