Kathleen Marie Brown, FNP
Individual provider Active NPI Family Nurse Practitioner · Edmond, OK
NPI 1861027682 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1861027682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 24181323 (VA)
- Practice address
- 1520 S Bryant Ave
Edmond, OK 73013-6028 - Phone
- (405) 348-7982
- NPI assigned
- Mar 12, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NR Shawnee LLC
Practice addresses (Care Compare)
3700 N Kickapoo Ave
Suite 116
Shawnee, OK 74804-0007
Phone (405) 551-8103
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200821000882 | OK | Practitioner - Nurse Practitioner | 1456777358 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89288 | OK | MD | Family Nurse Practitioner |
| 24181323 | VA | MD | Family Nurse Practitioner |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Video Virtual Care, PLLC | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Texas PLLC | Current |
Accepting new patients | |
| Unmc Physicians | Current |
Accepting new patients | |
| Minuteclinic Telehealth Services of Texas Association | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Texas PLLC | Family | Current |
Accepting new patients |
| Primary Care PLLC | Family | Current |
Accepting new patients |
Locations
2510 Bellevue Medical Center Dr
Ste 200
Bellevue, NE 68123
Phone (402) 595-2275
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
11271 Nuckols Rd
Glen Allen, VA 23059
Phone (804) 217-8881
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
1452 Chain Bridge Rd
McLean, VA 22101
Phone (703) 307-8235
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 89288 | OK | |
| Family Nurse Practitioner | 363LF0000X | 24181323 | VA | Yes |
Addresses
Primary practice location
1520 S Bryant Ave
Edmond, OK 73013-6028
Mailing address
1452 Chain Bridge Rd
MC Lean, VA 22101-3706
Phone (703) 356-5900
Other practice location 1
1452 Chain Bridge Rd
Mc Lean, VA 22101-3706
Phone (703) 356-5900
Other names
- Kathleen Marie Wilmington
Other providers in Edmond, OK
- Gwendolyn Patrice Brown
- Jennifer Brown
- Jermaine S Brown
- Jill Ann Brown
- Jordan Brown
- Kathyren Brown
- Kaycie Lee Brown
- Kristen Brown
- Laquita Lashun Brown
- Mark E Brown
All providers in Edmond, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.