Active NPI
Kelly Brown, AUD
- Audiologist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01663
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Hearing Centers Inc | Audiologist | Current | 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.
-
- Audiologist
- Severna Park, MD
- NPI 1093850216
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.