Individual provider Active NPI

Kelly Brown, AUD

  • Audiologist
  • Chantilly, VA
National Provider Identifier
1376137067
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001909 Issued in VA
Practice address
14102 Sullyfield Cir Ste 350C
Chantilly, VA 20151-1672
Phone
(703) 291-9047
NPI assigned
Feb 24, 2021
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AUD004261GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Ear, Nose, & Throat of Atlanta, PC PastSince Mar 1, 2021 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.

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.

Verify at the official NPI Registry.