Katie E. Brewer, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110004413 Issued in VA

Practice address

17336 Pickwick Dr
Purcellville, VA 20132-6179

Phone

(540) 338-3360

NPI assigned

Mar 21, 2006

Last updated

Mar 7, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, NM2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• San Juan Oncology Associates, PC

  • Hematology & Oncology Physician
  • Farmington, NM
  • NPI 1558446187

  CO

  Medicare reassignment
• San Juan Oncology Associates, PC

  • Hematology & Oncology Physician
  • Durango, CO
  • NPI 1144893249
  NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235198805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW",
            "address_2": "STE 26",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "253-588-0756",
            "fax_number": "253-581-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 PICKWICK DR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326179",
            "telephone_number": "540-338-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "KATIE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110004413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perri Lee Bonar, DPM
• Sydonie Bongam, DNP, PMHNP-BC, FNP-C
• Tessa Bowers, CFHC
• Kellie T Boyle, LPC
• Alexa C Bradley
• Margaux Brown, PHD, LPC
• Karen Bruecken, LPC
• Jenna Marchitello Calo, DPT
• Maria Capati-Echevarria, BCBA
• Lindsay Agneta Carlucci, NP

• Medical Physician Assistant in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.