Chastity S Brown, APRN

Key facts

NPI

1124115472

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

3004693 (KY)

Practice address

360 Keen St
Burkesville, KY 42717-1080

Phone

(270) 864-2889

Fax

(270) 864-2229

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cumberland Family Medical Center Inc Federally Qualified Health Center (FQHC) · Danville, KY · NPI 1215918917
  NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cumberland County Hospital Association Inc Critical Access Hospital · Burkesville, KY · NPI 1073567608
  Care Compare affiliation Hospital
• T J Samson Community Hospital Family Medicine Physician · Glasgow, KY · NPI 1477609865
  Care Compare affiliation Hospital
• T J Samson Community Hospital General Acute Care Hospital · Glasgow, KY · NPI 1770581894
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Family Medical Center Inc (125 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• T J Samson Community Hospital Hospital · Glasgow, KY · CCN 180017
• Cumberland County Hospital Hospital · Burkesville, KY · CCN 181317

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 18, 2016.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1124115472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 KEEN ST",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-2889",
            "fax_number": "270-864-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHASTITY",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78017399",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Burkesville, KY · Family Nurse Practitioner in Kentucky