Andrea Denise Brown McKennon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101239730 Issued in VA

Practice address

601 Potomac Station Dr NE
Leesburg, VA 20176-1816

Phone

(703) 840-1396

NPI assigned

May 18, 2006

Last updated

Dec 1, 2020By 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 VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Baby Doc Inc

  dba Night Watch Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Manassas, VA
  • NPI 1174004774
  Medicare reassignment NPD
• Falls Church Pediatrics

  dba Kids Watch Pediatrics & Urgent Care

  • Primary Care Clinic/Center
  • Falls Church, VA
  • NPI 1588481576

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1295788594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 POTOMAC STATION DR NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761816",
            "telephone_number": "703-840-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNON",
        "first_name": "ANDREA",
        "middle_name": "DENISE BROWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101239730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J McGarry, L.C.S.W.
• Tara Marie McGee, PHARMD
• Greg Wesley McGrew, O.D.
• Benjamin Harrison McIlwaine, MD
• Jaime McIntyre, M.ED, BCBA
• Rashanna McKenzie-Conley, MS, CSAC, QMHP A & C
• Janice McKenzie, RN
• Jennifer McLamb
• Polly R. McMillan, PSY.D.
• Erin McNett, PSY.D.

• Pediatrics Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.