Provider Demographics
NPI:1134173727
Name:BROWN-TODD, JANETH J (APRN)
Entity type:Individual
Prefix:
First Name:JANETH
Middle Name:J
Last Name:BROWN-TODD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:404 N KEENE ST STE 101
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6626
Practice Address - Country:US
Practice Address - Phone:573-882-6979
Practice Address - Fax:573-884-8823
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN129829363L00000X
MO129829364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4287262801OtherKANSAS MEDICAID
MO174492OtherBLUE CHOICE
MO174492OtherBLUE SHIELD
MO425248002Medicaid
MO534833OtherHEALTHLINK
MO831511882Medicare PIN
MO174492OtherBLUE CHOICE
MO534833OtherHEALTHLINK
MO831515236Medicare PIN