Healthcare Provider Details

I. General information

NPI: 1316506074
Provider Name (Legal Business Name): KELLIE BROWN LEMEIN RN, CNS, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KELLIE NICOLE BROWN RN, CNS

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 VAN NESS AVE FL 4
SAN FRANCISCO CA
94109-6920
US

IV. Provider business mailing address

299 ARGUELLO BLVD APT 203
SAN FRANCISCO CA
94118-1464
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-6403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number744757
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number744757
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: