LATOYA DANIELLE BROWN, AGPCNP-C — NPI 1871186429 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health in HOLT, MI)

CMS-1500 Box 24J / 33a • NPI

1871186429

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LA2200X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health

Box 32 Service Location & ZIP+4

5091 WILLOUGHBY RD, HOLT, MI, 48842-1054

✓ 9-Digit EDI 837 ZIP+4 (48842-1054)

Practice Phone & Referral Fax

(517) 694-2144

Fax: (517) 694-7469

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871186429 (LATOYA DANIELLE BROWN, AGPCNP-C) 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	`1871186429` (NPI-1 Individual Practitioner)
Provider / Legal Name	LATOYA DANIELLE BROWN, AGPCNP-C
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health NUCC Code: `363LA2200X` (Nurse Practitioner, Adult Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5091 WILLOUGHBY RD, HOLT, MI, 48842-1054
Practice Telephone / Fax	Tel: (517) 694-2144 \| Fax: (517) 694-7469
Administrative Mailing Address	804 SERVICE RD STE A109B, EAST LANSING, MI, 48824-7015
Enumeration & Last Sync	Enumerated: 2021-02-15 \| CMS Record Updated: 2023-06-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5091 WILLOUGHBY RD, HOLT, MI, 48842-1054

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Plain-English Taxonomy & CMS Crosswalk (363LA2200X)

What Does Taxonomy Code 363LA2200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Adult Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LATOYA DANIELLE BROWN, AGPCNP-C)

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
`363LA2200X` — Nurse Practitioner, Adult Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health	State: MI \| License: `4704297656` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LATOYA DANIELLE BROWN, AGPCNP-C (NPI #1871186429)