Active NPI
Kaitlyn Brown Parker, MD
- Neonatal-Perinatal Medicine Physician
- Albuquerque, NM
National Provider Identifier
1629573928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD2024-0794
- Practice address
- 1100 Central Ave SE
Albuquerque, NM 87106-4930 - Phone
- (480) 573-8829
- NPI assigned
- Mar 28, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L.4761R | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD2024-0794 | NM | Primary |
Addresses
Primary practice location
1100 Central Ave SE
Albuquerque, NM 87106-4930
Mailing address
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (480) 573-8829
Other practice location 1
2451 USA Medical Center Dr Rm 714
Mobile, AL 36617-2300
Phone (251) 434-3915
Other practice location 2
6431 Fannin St Ste Msb 3244
Houston, TX 77030-1501
Phone (713) 500-5736
Other names 1
- Kaitlyn Marie Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181105000922 | AL | Order and Referring Only - Pediatric Medicine | 2567715766 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.4761R | AL | MD | Pediatrics Physician |
| MD2024-0794 | NM | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Past | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1629573928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "480-573-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "480-573-8829"
}
],
"practiceLocations": [
{
"address_1": "2451 USA Medical Center Dr Rm 714",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366172300",
"country_code": "US",
"telephone_number": "251-434-3915",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6431 Fannin St Ste Msb 3244",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "713-500-5736",
"fax_number": "713-500-5794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "KAITLYN",
"middle_name": "BROWN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "L.4761R",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NM",
"license": "MD2024-0794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "BROWN",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.