Individual provider Active NPI

Kimberly A Brownell, SLP

  • Speech-Language Pathologist
  • Fresh Meadows, NY
National Provider Identifier
1407134893
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0151801 Issued in NY
Practice address
16303 Horace Harding Expy Lowr Level100
Fresh Meadows, NY 11365-1454
Phone
(718) 445-5100
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 015180 NY
Speech-Language Pathologist 235Z00000X 0151801 NY Primary

Addresses

Primary practice location

16303 Horace Harding Expy Lowr Level100
Fresh Meadows, NY 11365-1454

Mailing address

660 White Plains Road - Enta
Fourth Floor
Tarrytown, NY 10591-6802
Phone (914) 984-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713002106 NY Practitioner - Qualified Speech Language Pathologist 2365734241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

1200 Waters PL
Suite 110
Bronx, NY 10461-0371
Phone (718) 863-4366

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0151801NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP CurrentSince Jul 1, 2022 Accepting new patients

Locations

3501 30th Ave
Ste 400
Astoria, NY 11103
Phone (718) 726-7000

3119 Newtown Ave
Ste 201
Astoria, NY 11102
Phone (718) 631-8899

3501 30th Ave
Ste 301400
Astoria, NY 11103

2818 31st St
#2
Astoria, NY 11102
Phone (718) 395-6247

1200 Waters Pl
Ste 110
Bronx, NY 10461
Phone (718) 508-4230

3526 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 353-1571

10721 Queens Blvd
Ste 28
Forest Hills, NY 11375

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

16303 Horace Harding Expy
Fl 3
Fresh Meadows, NY 11365
Phone (718) 445-5100

660 White Plains Rd
Fl Fourth
Tarrytown, NY 10591
Phone (914) 984-2546

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1407134893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS ROAD - ENTA",
            "address_2": "FOURTH FLOOR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105916802",
            "telephone_number": "914-984-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 HORACE HARDING EXPY LOWR LEVEL100",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651454",
            "telephone_number": "718-445-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNELL",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015180",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0151801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.