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Active NPI 1629506589 Individual Practitioner Female Practitioner

Kelley Bryan , LPN

Licensed Practical Nurse • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Kelley Bryan, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Chantilly, VA. Practice services are available at 14121 PARKE LONG CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14121 Parke Long Ct

Chantilly, VA 201511647

Telephone 9045214629
Associated Practice Facility / Clinic
🏢 Chantilly Specialists, Ltd. Facility NPI 1265444053

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Chantilly, VA (613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License VA 0002088968

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Bindhu Aickareth , FNP-C

Nurse Practitioner - Family

NPI 1033514443

Family Nurse Practitioner (Certified)

Stacye Dick , GNP-BC

Nurse Practitioner - Gerontology

NPI 1124455118

GNPBC

Camille Richards

Registered Nurse - Case Management

NPI 1144756412
Mary Beth Bergman , CNP

Nurse Practitioner - Gerontology

NPI 1184034555

Certified Nurse Practitioner

Regan Howe

Nurse Practitioner - Family

NPI 1235544388
Marie Fuanya

Nurse Practitioner - Family

NPI 1245697259

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2017

Registered at 14121 PARKE LONG CT, CHANTILLY, VA 201511647 (Tel: 9045214629)

📍
Updated Business Mailing Address May 23, 2017

Registered at 14121 PARKE LONG CT, CHANTILLY, VA 201511647 (Tel: 9045214629)

👤
Provider Name / Credentials Updated May 23, 2017

Recorded as KELLEY BRYAN, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Licensed Practical Nurse (License #0002088968 in VA)

🟢
Initial NPI Registration & Enumeration May 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629506589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2017
Last Update: May 23, 2017
Sole Proprietor: Yes

Mailing Address

14121 Parke Long Ct

Chantilly, VA 201511647

Phone: 9045214629

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.