Active NPI
Kelli Lynn Brown, D.C.
- Chiropractor
- Washington, IA
National Provider Identifier
1154626026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007391
- Practice address
- 1108 W 5TH St
Washington, IA 52353-3005 - Phone
- (319) 653-3336
- Fax
- (866) 735-0977
- NPI assigned
- Jan 24, 2011
- Last updated
- Jan 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007391 | IA | Primary |
Addresses
Primary practice location
1108 W 5TH St
Washington, IA 52353-3005
Mailing address
1108 W 5TH St
Washington, IA 52353-3005
Phone (319) 653-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
114 S Iowa Ave
Washington, IA 52353-2011
Phone (319) 653-3336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007391 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Chiropractic Clinic, P.C. | Chiropractor | Current | Accepting new patients |
| Brown Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
109 N Marion Ave
Washington, IA 52353
Phone (319) 653-3336
114 S Iowa Ave
Washington, IA 52353
Phone (319) 653-3336
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Washington, IA
- NPI 1306269410
-
- Chiropractor
- Washington, IA
- NPI 1447558515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1154626026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 W 5TH ST",
"city": "WASHINGTON",
"state": "IA",
"postal_code": "523533005",
"telephone_number": "319-653-3336",
"fax_number": "866-735-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 W 5TH ST",
"city": "WASHINGTON",
"state": "IA",
"postal_code": "523533005",
"telephone_number": "319-653-3336",
"fax_number": "866-735-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KELLI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.