Individual provider Active NPI

Veletta Brown

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1487835732
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009257 Issued in KY
Practice address
1620 Frederica St
Owensboro, KY 42301-4807
Phone
(270) 686-6040
Fax
(270) 686-6050
NPI assigned
Nov 15, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009257 KY Primary

Addresses

Primary practice location

1620 Frederica St
Owensboro, KY 42301-4807

Mailing address

1620 Frederica St
Owensboro, KY 42301-4807
Phone (270) 686-6040

Other names 1

  • Veletta Beatty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002228 KY Practitioner - Nurse Practitioner 3577617968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Affiliated Care, PSC CurrentSince Jul 1, 2021 Accepting new patients
Premier Medical Group, PSC Family CurrentSince Jul 1, 2021 Accepting new patients
Audubon Area Community Care Clinic, Inc. Past Accepting new patients
Owensboro Health Medical Group, Inc Family Past Accepting new patients

Locations

1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273

Interoperability endpoints

  • Direct secure messaging: vogaz@acoo-in.direct.office.nextgen.com

Organizations & group practices 4

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1487835732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014807",
            "telephone_number": "270-686-6040",
            "fax_number": "270-686-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014807",
            "telephone_number": "270-686-6040",
            "fax_number": "270-686-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "VELETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VELETTA",
            "last_name": "BEATTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.