Individual provider Active NPI

Kathleen Laird Brown, PNP

  • Pediatric Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1073946737
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN255069 Issued in GA
Practice address
2 Wheeler St
Savannah, GA 31405-5700
Phone
(912) 353-7744
Fax
(912) 355-9124
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN255069 GA Primary

Addresses

Primary practice location

2 Wheeler St
Savannah, GA 31405-5700

Mailing address

2 Wheeler St
Savannah, GA 31405-5700
Phone (912) 353-7744

Other practice location 1

1000 Towne Center Blvd Ste 1000B
Pooler, GA 31322-4129
Phone (912) 353-7744

Other identifiers 1

IdentifierTypeStateIssuer
RN255069OtherGAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN255069GAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: katiebrown@sip.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1073946737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WHEELER ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055700",
            "telephone_number": "912-353-7744",
            "fax_number": "912-355-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WHEELER ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055700",
            "telephone_number": "912-353-7744",
            "fax_number": "912-355-9124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Towne Center Blvd Ste 1000B",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224129",
            "country_code": "US",
            "telephone_number": "912-353-7744",
            "fax_number": "912-348-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHLEEN",
        "middle_name": "LAIRD",
        "name_prefix": "Dr.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN255069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "RN255069",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.