Individual provider Active NPI

Kelli Lynn Brown, D.C.

  • Chiropractor
  • Washington, IA
National Provider Identifier
1154626026
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007391 Issued in IA
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120120000639 IA Practitioner - Chiropractic 9830366541 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
007391IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Chiropractic Clinic, P.C. Chiropractor CurrentSince Jan 1, 2014 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.

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.

Verify at the official NPI Registry.