KRISTIN J ADDISON-BROWN, PhD — NPI 1841507894 (Licensed & Credentialed Clinical Neuropsychologist in JONESBORO, AR)

CMS-1500 Box 24J / 33a • NPI

1841507894

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103G00000X

Licensed & Credentialed Clinical Neuropsychologist

Box 32 Service Location & ZIP+4

304 SOUTHWEST SQ, JONESBORO, AR, 72401-5984

✓ 9-Digit EDI 837 ZIP+4 (72401-5984)

Practice Phone & Referral Fax

(870) 203-6065

Fax: (870) 931-4790

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1841507894 (KRISTIN J ADDISON-BROWN, PhD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1841507894` (NPI-1 Individual Practitioner)
Provider / Legal Name	KRISTIN J ADDISON-BROWN, PhD
Plain-English Specialty	Licensed & Credentialed Clinical Neuropsychologist NUCC Code: `103G00000X` (Clinical Neuropsychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	304 SOUTHWEST SQ, JONESBORO, AR, 72401-5984
Practice Telephone / Fax	Tel: (870) 203-6065 \| Fax: (870) 931-4790
Administrative Mailing Address	PO BOX 16374, JONESBORO, AR, 72403-6706
Enumeration & Last Sync	Enumerated: 2010-09-10 \| CMS Record Updated: 2014-09-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

304 SOUTHWEST SQ, JONESBORO, AR, 72401-5984

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Plain-English Taxonomy & CMS Crosswalk (103G00000X)

What Does Taxonomy Code 103G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Neuropsychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KRISTIN J ADDISON-BROWN, PhD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: AL \| License: `1573` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: AL \| License: `1573` \| Primary: Secondary
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: AR \| License: `11-05P` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KRISTIN J ADDISON-BROWN, PhD (NPI #1841507894)