Emily Josephine Kelley-Brown, MPH, RD, CD, CSP

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60065377 Issued in WA

Practice address

18126 76TH Ave NW
Stanwood, WA 98292-8929

Phone

(425) 238-4901

NPI assigned

Jan 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  • Sagle, ID
  • NPI 1205536703

  Dietitian, Registered, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1710217419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18126 76TH AVE NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928929",
            "telephone_number": "425-238-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18126 76TH AVE NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928929",
            "telephone_number": "425-238-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 N Josey Ln Ste 223",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750073150",
            "country_code": "US",
            "telephone_number": "307-284-3227",
            "fax_number": "659-202-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY-BROWN",
        "first_name": "EMILY",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "MPH, RD, CD, CSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89526",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60065377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Caring Community
• Thomas Jung, THOMAS JUNG
• Kelsey Nichole Kanehen
• Timothy John Kathol
• Mark Allen Keller, M.D.
• Debra R Kennedy, RN, LMP
• Margaret Erskine Kepler, M.D.
• Kevin Lee DDS Johann Ti DDS & Michael Hyodo DDS PLLC
• Lynda I Khisa
• Darleen Mary Kildow, LMHC, NCC

• Registered Dietitian in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.