NICOLE BROWN (NPI# 1750792974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750792974 |
| Entity Type | Individual |
| Full Name | NICOLE BROWN |
| Credential | PA-C |
| Practice Address |
201 Bailey Ln Benton IL 62812-1969 |
| Mailing Address |
4130 Arsenal St 2 Fl Saint Louis MO 63116-3923 |
| Practice Telephone | 6184393161 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085005019 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975336 | Nicole Sheena Brown | Registered Nurse | 20974 Strawrick Ter, Ashburn, VA 20147-5327 | 2020-06-05 |
| 1386268936 | Nicole Brown | Midwife | 630 W Queen St Unit 9, Inglewood, CA 90301-1085 | 2020-05-29 |
| 1366077992 | Nicole Christine Brown | Lactation Consultant, Non-RN | 993 Katherine Rd, Simi Valley, CA 93063-4736 | 2020-03-04 |
| 1972142305 | Nicole Brown | Marriage & Family Therapist | 1804 10th Ave W, Seattle, WA 98119-2948 | 2020-01-02 |
| 1659845337 | Nicole Brown | Counselor | 1460 W Main St Ste 150, Sun Prairie, WI 53590-1810 | 2019-01-16 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1669922274 | Nicole Brown | Behavioral Analyst | 10320 Hickory Ridge Rd Apt 824, Columbia, MD 21044-4056 | 2016-10-06 |
| 1801349949 | Nicole Brown | Behavior Technician | 2510 Catron Loop Apt A, Holloman Afb, NM 88330-7411 | 2016-07-25 |
| 1811346661 | Nicole Brown | Counselor | 529 Courtlandt Ave Fl 4, Bronx, NY 10451-5007 | 2016-06-11 |
| 1023465044 | Nicole Olivia Brown | Specialist | 37 Jewett Ave, Jersey City, NJ 07304-3015 | 2016-05-19 |
| Street Address |
201 BAILEY LN |
| City | BENTON |
| State | IL |
| Zip Code | 62812-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194700369 | Robert Loren Hitt | Registered Nurse | 201 Bailey Ln, Benton, IL 62812-1969 | 2005-12-10 |
| 1265065007 | Hope E Hargraves | Nurse Practitioner | 201 Bailey Ln, Benton, IL 62812-1999 | 2020-02-20 |
| 1912549965 | Brooke Hudson | Nurse Practitioner | 201 Bailey Ln, Benton, IL 62812-1999 | 2019-10-10 |
| 1609253343 | Janet Porter | Dietitian, Registered | 201 Bailey Ln, Benton, IL 62812-1969 | 2015-05-01 |
| 1508252495 | Elizabeth L. Harbison | Nurse Practitioner | 201 Bailey Ln, Benton, IL 62812-1969 | 2015-04-08 |
| 1063810463 | Kayla Lorraine Kimmel | Nurse Practitioner | 201 Bailey Ln, Benton, IL 62812-1969 | 2014-12-17 |
| 1881027464 | Courtney Michelle Graham | Speech-Language Pathologist | 201 Bailey Ln, Rehab Department, Benton, IL 62812-1969 | 2013-08-19 |
| 1487909446 | Lovelia Cabrera Horn | Physical Therapist | 201 Bailey Ln, Benton, IL 62812-1969 | 2012-07-16 |
| 1689827727 | Billie J Cox | Licensed Practical Nurse | 201 Bailey Ln, Benton, IL 62812-1969 | 2008-11-03 |
| 1376792929 | Veronica Lynn Davison | Licensed Practical Nurse | 201 Bailey Ln, Benton, IL 62812-1969 | 2008-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
| 1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
| 1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
| 1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
| 1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
| Find all providers in zip 62812 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538330485 | Caleb Sloan Rae | Physician Assistant | 126 Polk Street, Benton, TN 37307 | 2008-03-19 |
| 1013975762 | Sterling Emergency Services of The Midwest, Inc | Physician Assistant | 503 George Mcclain Dr, Benton, KY 42025-1331 | 2006-05-03 |
| 1215567995 | Bridget Catherine O'leary | Physician Assistant | 105 Mcneil St, Benton, AR 72015-3345 | 2020-01-22 |
| 1063976389 | Mackenzie Cole | Physician Assistant | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-01-31 |
| 1285141333 | Danny D Satterfield | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2018-01-10 |
| 1023475878 | Matthew H Pruitt | Physician Assistant | 1 Medical Park Dr, Benton, AR 72015-3353 | 2016-01-25 |
| 1316220049 | Rikki Lea Walker | Physician Assistant | 1 Medical Park Dr, Benton, AR 72015-3353 | 2011-09-20 |
| 1376792457 | Jasmin Ann Lease | Physician Assistant | 2010 Active Way, Benton, AR 72019-7566 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NICOLE BROWN.
| 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.