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Kelley Bryan , LPN

Licensed Practical Nurse • Chantilly, VA

Active NPI 1629506589 Individual Practitioner Female Practitioner
Practice location in NPPES

14121 Parke Long Ct
Chantilly, VA 201511647

Call 9045214629 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14121 Parke Long Ct

Chantilly, VA 201511647

Telephone 9045214629
Organization at the Same NPPES Address or Phone
Chantilly Specialists, Ltd. Facility NPI 1265444053

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chantilly and Virginia

10 active clinicians are listed under Licensed Practical Nurse with a practice address in Chantilly, VA (598 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Wesley Cearley , NP

Nurse Practitioner - Acute Care

NPI 1275925216

Nurse Practitioner

Stacye Dick , GNP-BC

Nurse Practitioner - Gerontology

NPI 1124455118

GNPBC

Angela Goodson-Acevedo

Nurse Practitioner - Family

NPI 1245745967
Regan Howe

Nurse Practitioner - Family

NPI 1235544388
Jennifer Jones , CRNP

Nurse Practitioner - Family

NPI 1619130481

Certified Registered Nurse Practitioner

Margaret Mbachu

Nurse Practitioner - Family

NPI 1265962591

Career & Practice History

NPI enumerated May 23, 2017.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2017 to August 2026.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.