Individual provider Active NPI

Kathleen Danielle Brown, MSN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1134512486
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024172412 Issued in VA
Practice address
2020 S Independence Blvd
#5
Virginia Beach, VA 23453-4776
Phone
(757) 471-6903
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024172412 VA Primary

Addresses

Primary practice location

2020 S Independence Blvd
#5
Virginia Beach, VA 23453-4776

Mailing address

2020 S Independence Blvd
#5
Virginia Beach, VA 23453-4776
Phone (757) 471-6903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425001016 VA Practitioner - Nurse Practitioner 9133461072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6353 Ctr Dr
Suite 100
Norfolk, VA 23502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024172412VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 13, 2019 Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince Apr 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 13, 2019 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Commonwealth Women'S Healthcare, Inc. PastSince Dec 17, 1996 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

880 Kempsville Rd
Ste 201
Norfolk, VA 23502
Phone (757) 461-3890

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292

Interoperability endpoints

  • Direct secure messaging: kathleen.brown.1@22824.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1134512486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD",
            "address_2": "#5",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-471-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD",
            "address_2": "#5",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-471-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHLEEN",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024172412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.