Active NPI
Kelly Brown, AUD
- Audiologist
- Chantilly, VA
National Provider Identifier
1376137067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001909
- Practice address
- 14102 Sullyfield Cir Ste 350C
Chantilly, VA 20151-1672 - Phone
- (703) 291-9047
- NPI assigned
- Feb 24, 2021
- Last updated
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD004261 | GA | |
| Audiologist | 231H00000X | 2201001909 | VA | Primary |
Addresses
Primary practice location
14102 Sullyfield Cir Ste 350C
Chantilly, VA 20151-1672
Mailing address
2987 District Ave Apt 524
Fairfax, VA 22031-1537
Phone (404) 401-9250
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelly.brown@familyhearingva.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD004261 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Ear, Nose, & Throat of Atlanta, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Otolaryngology Physician
- Atlanta, GA
- NPI 1134380017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1376137067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2987 DISTRICT AVE APT 524",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311537",
"telephone_number": "404-401-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14102 SULLYFIELD CIR STE 350C",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511672",
"telephone_number": "703-291-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KELLY",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD004261",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001909",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelly.brown@familyhearingva.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14102 Sullyfield Cir Ste 350C",
"city": "Chantilly",
"state": "VA",
"country_code": "US",
"postal_code": "201511672",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.