Individual provider Active NPI

Kiley Yager Brown Newton, MSN, APRN, NP-C

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1699101352
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3008291 Issued in KY
Practice address
1700 Old Bluegrass Ave
Suite 110
Louisville, KY 40215-1162
Phone
(502) 361-3909
Fax
(502) 361-9229
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008291 KY
Adult Health Nurse Practitioner 363LA2200X 3008291 KY Primary

Addresses

Primary practice location

1700 Old Bluegrass Ave
Suite 110
Louisville, KY 40215-1162

Mailing address

444 So 1St Street #100
Louisville, KY 40202-1416
Phone (502) 583-6647

Other names 1

  • Kiley Yager Brown 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
I20131127001336 KY Practitioner - Nurse Practitioner 1951537760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Group PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1699101352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SO 1ST STREET #100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021416",
            "telephone_number": "502-583-6647",
            "fax_number": "502-585-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 OLD BLUEGRASS AVE",
            "address_2": "SUITE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151162",
            "telephone_number": "502-361-3909",
            "fax_number": "502-361-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN NEWTON",
        "first_name": "KILEY",
        "middle_name": "YAGER",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008291",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3008291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KILEY",
            "last_name": "BROWN",
            "middle_name": "YAGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.