Kaitlin Marie Brown, RN

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

002401 Issued in WV

Practice address

100 Hospital Dr Ste 3
Petersburg, WV 26847-9570

Phone

(304) 257-1015

Fax

(304) 257-1129

NPI assigned

Oct 3, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Grant Memorial Homecare and Hospice LLC

  • Home Health Agency
  • Petersburg, WV
  • NPI 1104084151
  NPD
• Grant Memorial Homecare and Hospice, LLC

  • Community Based Hospice Care Agency
  • Petersburg, WV
  • NPI 1053579102
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1386368355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 LAUREL DALE ROAD",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "26743",
            "telephone_number": "304-790-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR STE 3",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479570",
            "telephone_number": "304-257-1015",
            "fax_number": "304-257-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "002401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/Tablet",
            "affiliation": "N",
            "address_1": "100 Hospital Dr Ste 3",
            "city": "Petersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "268479570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin June Bowers, AUD
• Savanna M Brake
• Rachel Brill
• Andrea D Brogan, SLP
• Dana Brown
• James Browning
• Ashley Buracker
• Haylie Bussard
• Becky J Calhoun Harman, RNC MSN FNP
• Melanie Joy Callaway

• All providers in Petersburg, WV
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.