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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 16, 2018.

{
    "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

All providers in Fredericksburg, VA · Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.