Kerry A Egan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556828 Issued in VA

Practice address

4200 Mozart Brigade LN Apt E
Fairfax, VA 22033-3971

Phone

(703) 473-4145

NPI assigned

Nov 6, 2006

Last updated

Mar 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1174692362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MOZART BRIGADE LN APT E",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333971",
            "telephone_number": "703-473-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MOZART BRIGADE LN APT E",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333971",
            "telephone_number": "703-473-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KERRY",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010776",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "2232480",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Edwards, LCSW
• Olusola Edwards, LPC, LSATP
• Reagan L Edwards, PT
• Susan S Edwards
• Zachary Forrest Edwards, PT, DPT
• Mikaela Jane Egan, B.S.
• Danielle M Eganhouse, P.A.- C
• Melody Ege, LPC
• Meena S. Ego-Osuala, P.A.-C
• John Louis Ehlers III, M.A., LPC, NCC

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.