Individual provider Active NPI

Kelly Lynn Brown, D.C.

  • Chiropractor
  • Christiansted, VI
National Provider Identifier
1710160890
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
46 Issued in VI
Practice address
3227 Est Golden Rock
Suite #1 & 2
Christiansted, VI 00820-4330
Phone
(340) 718-2663
Fax
(340) 718-2664
NPI assigned
Dec 11, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 46 VI Primary

Addresses

Primary practice location

3227 Est Golden Rock
Suite #1 & 2
Christiansted, VI 00820-4330

Mailing address

3227 Est Golden Rock
Suite #1 & 2
Christiansted, VI 00820-4330
Phone (340) 718-2663

Other names 1

  • Dr. Kelly Brown Staron Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250715003836 FL Practitioner - Chiropractic 0244745529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2005
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

955 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6670
Phone 81363333322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46VIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Care Physiotherapy Chiropractic & Weightloss Center CurrentSince Jul 9, 2025 Accepting new patients

Locations

500 Vonderburg Dr
Ste 105
Brandon, FL 33511
Phone (813) 922-2898

955 E Del Webb Blvd
Ste 101
Sun City Ctr, FL 33573
Phone (813) 633-3332

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, 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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1710160890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 EST GOLDEN ROCK",
            "address_2": "SUITE #1 & 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204330",
            "telephone_number": "340-718-2663",
            "fax_number": "340-718-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 EST GOLDEN ROCK",
            "address_2": "SUITE #1 & 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204330",
            "telephone_number": "340-718-2663",
            "fax_number": "340-718-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VI",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "STARON",
            "middle_name": "BROWN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.