Individual provider Active NPI

Kelly Brown, AUD

  • Audiologist
  • Annapolis, MD
National Provider Identifier
1720841000
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01663 Issued in MD
Practice address
600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082
Phone
(410) 647-7795
Fax
(410) 315-8823
NPI assigned
Jan 31, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01663 MD Primary

Addresses

Primary practice location

600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082

Mailing address

650 Ritchie Hwy Ste 104
Severna Park, MD 21146-3910
Phone (410) 647-7795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314002935 MD Practitioner - Qualified Audiologist 6002252855

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

650 Ritchie Hwy
Suite 104
Severna Park, MD 21146

650 Ritchie Hwy
Suite 104
Severna Park, MD 21146-3910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Hearing Centers Inc Audiologist CurrentSince Feb 12, 2024 Accepting new patients

Locations

127 Lubrano Dr
Ste 102
Annapolis, MD 21401
Phone (410) 224-2020

600 Ridgely Ave
Ste 110
Annapolis, MD 21401
Phone (410) 263-8389

8133 Elliott Rd
Ste 3
Easton, MD 21601
Phone (410) 647-7795

650 Ritchie Hwy
Ste 104
Severna Park, MD 21146
Phone (410) 647-7795

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1720841000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY STE 104",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463910",
            "telephone_number": "410-647-7795",
            "fax_number": "410-315-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011082",
            "telephone_number": "410-647-7795",
            "fax_number": "410-315-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELLY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.