Kathleen Brannan Brown, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12114 Issued in CA

Practice address

7064 Corline CT
Suite C1
Sebastopol, CA 95472

Phone

(707) 595-0992

NPI assigned

May 8, 2015

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Marie Brannan Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Return to Movement, Inc

  • Family Nurse Practitioner
  • Sebastopol, CA
  • NPI 1720724024
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1245618453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 CYPRESS WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057516",
            "telephone_number": "707-659-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7064 CORLINE CT",
            "address_2": "SUITE C1",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "95472",
            "telephone_number": "707-595-0992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4702 Hoen Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057824",
            "country_code": "US",
            "telephone_number": "707-545-2255",
            "fax_number": "707-573-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2455 Summerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057815",
            "country_code": "US",
            "telephone_number": "707-308-2815",
            "fax_number": "707-573-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7064 Corline Ct Ste C1",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954724528",
            "country_code": "US",
            "telephone_number": "707-329-6582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3883 Airway Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031678",
            "country_code": "US",
            "telephone_number": "707-521-4495",
            "fax_number": "707-573-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHLEEN",
        "middle_name": "BRANNAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "12114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BRANNAN",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce Robert Bragonier, M.D.
• Allyson L Bray
• Brian Jacobs, Licensed Clinical Social Worker, PC (Sonoma Life Solutions)
• Laurel Anne Brody, L.AC.
• Jessica Bromley, MFT
• Bruce R. Bragonier, MD, a Professional Corporation
• Teresa L Burk, P.T.
• Brittany Ann Burns, ACSW
• Nancy Ramah Burns, L.M.F.T.
• Craig Alan Campbell, MD

• Family Nurse Practitioner in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.
• 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.