Kimberly Brown
Individual provider Active NPI Counselor · Fredericksburg, VA
NPI 1760951024 · NPPES record last updated Nov 16, 2018
Key facts
- NPI
- 1760951024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 5610 Southpoint Centre Blvd
Fredericksburg, VA 22407-2611 - Phone
- (549) 300-7325
- NPI assigned
- Nov 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
5610 Southpoint Centre Blvd
Fredericksburg, VA 22407-2611
Mailing address
6 Silverleaf CT
Stafford, VA 22554-5653
Phone (540) 295-7050
NPI Registry JSON
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1760951024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SILVERLEAF CT",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225545653",
"telephone_number": "540-295-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 SOUTHPOINT CENTRE BLVD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072611",
"telephone_number": "549-300-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.