Active NPI
Valenchia Quilleryne Brown
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1124661723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013936
- Practice address
- 907 Lyndon LN
Louisville, KY 40222-3815 - Phone
- (502) 425-7659
- Fax
- (502) 423-0834
- NPI assigned
- Oct 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013936 | KY | Primary |
Addresses
Primary practice location
907 Lyndon LN
Louisville, KY 40222-3815
Mailing address
907 Lyndon LN
Louisville, KY 40222-3815
Phone (502) 425-7659
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Medical Practice PLLC | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1669841631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1124661723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 LYNDON LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223815",
"telephone_number": "502-425-7659",
"fax_number": "502-423-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 LYNDON LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223815",
"telephone_number": "502-425-7659",
"fax_number": "502-423-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "VALENCHIA",
"middle_name": "QUILLERYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-26",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.