MRS. TERRI LEE BROWN (NPI# 1053576405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053576405 |
| Entity Type | Individual |
| Full Name | MRS. TERRI LEE BROWN |
| Other Name | MRS. TERRI LEE MICHL |
| Credential | NP |
| Practice Address |
2229 Mary Sherman Dr Sullivan IN 47882-7633 |
| Mailing Address |
Po Box 230 Sullivan IN 47882-0230 |
| Practice Telephone | 8122683318 |
| Mailing Telephone | (812) 268-3318 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002697A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | P00834946 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 S 6th St, Terre Haute, IN 478074214 | 8122384470 | 8122359580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346629771 | Terri Lea Brown | Nurse Practitioner | 7001 Condor Dr, North Ridgeville, OH 44039-2951 | 2015-05-19 |
| 1659706406 | Terri Lynn Brown | Dentist | 6420 Se 15th St, Midwest City, OK 73110-2704 | 2013-09-12 |
| 1841591575 | Terri Brown | Social Worker | 595 Mapleton Ave, Suffield, CT 06078-1708 | 2010-11-11 |
| 1437348612 | Terri Lenelle Brown | Physician Assistant | 59 Ivy Ln, Petersburg, VA 23805-1364 | 2007-10-23 |
| 1497890776 | Terri N Brown | Counselor | 2345 50th St Ste 100, Lubbock, TX 79412-2566 | 2007-02-21 |
| 1376683888 | Terri Y Brown | Family Medicine | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-07 |
| 1710546247 | Terri Brown | Counselor | 248 Winding Oak Way, Blythewood, SC 29016-8029 | 2019-06-09 |
| 1194290577 | Terri Lynn Brown | Registered Nurse | 4711 N 138th St, Omaha, NE 68164-6047 | 2018-10-11 |
| 1265988968 | Terri Brown | Nutritionist | 700 W Washington St, Suffolk, VA 23434-6103 | 2016-09-01 |
| 1528458668 | Terri Brown | Counselor | 347 Midway Blvd, Suite 200, Elyria, OH 44035-9006 | 2015-01-28 |
| Street Address |
2229 MARY SHERMAN DR |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-7633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304123 | Carl F. Conwell | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2005-05-23 |
| 1447805965 | Sullivan County Community Hospital | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2019-08-02 |
| 1073042131 | Jeanna Rennee Lisman | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2017-06-12 |
| 1700256948 | Mso Clinics, Inc. | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2015-09-30 |
| 1811317977 | Mso Clinics, Inc. | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2014-04-16 |
| 1467884643 | Sullivan County Community Hospital | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2013-07-30 |
| 1316270747 | Union Associated Physicians Clinic, LLC | Otolaryngology | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2009-09-17 |
| 1427275353 | Jessy G. Woods | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2007-04-20 |
| 1174675789 | Kidney and Hypertension Center of In | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2007-01-17 |
| 1427119809 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
| Find all providers in zip 47882 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344463 | Jason Allen Bishop | Nurse Practitioner | 373 County Road 40, Sullivan, OH 44880-9725 | 2020-07-23 |
| 1316240500 | Theresa Marie Lipe | Nurse Practitioner | 6631 Hwy Ac, Sullivan, MO 63080-3508 | 2010-12-10 |
| 1962584375 | Tabitha Dee Simpson | Nurse Practitioner | 2200 N Section St Ste A, Sullivan, IN 47882-7523 | 2006-10-19 |
| 1104822568 | Patricia E Carr | Nurse Practitioner | 1220 W Jackson St, Sullivan, IL 61951-1032 | 2005-06-21 |
| 1588206908 | Devon Sarah Schlottach | Nurse Practitioner | 965 Mattox Dr, Sullivan, MO 63080-2365 | 2019-10-17 |
| 1942841390 | Katherine M Jasper | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2019-10-07 |
| 1477034437 | Lisa Ann Nelson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2018-08-27 |
| 1710479084 | Jessica A Dean-hester | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2018-06-03 |
| 1831613074 | Margaret Lacuesta | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2017-07-31 |
| 1073042131 | Jeanna Rennee Lisman | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2017-06-12 |
| Find all providers in SULLIVAN | ||||
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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.