Individual provider Active NPI

Kathryn Wingo Burns, RN, CPNP

  • Pediatric Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1023591971
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024176586 Issued in VA
Practice address
13001 Summit School Rd # a
Woodbridge, VA 22192-2903
Phone
(703) 494-4811
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024176586 VA Primary

Addresses

Primary practice location

13001 Summit School Rd # a
Woodbridge, VA 22192-2903

Mailing address

3819 Appaloosa Dr
Woodbridge, VA 22192-6220
Phone (703) 554-4961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181127001258 DC Practitioner - Nurse Practitioner 8426392713 Reassigns benefits to 1 organization
I20181203002349 VA Practitioner - Nurse Practitioner 8426392713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 26, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 26, 2018 Accepting new patients
Anez & Bitar Medical PC Past Accepting new patients
Trusted Doctors LLC PastSince Jul 9, 2023 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDHBD/Endpoint/AEDHBD
  • Direct secure messaging: kathryn.wingo@tpgp.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1023591971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 APPALOOSA DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926220",
            "telephone_number": "703-554-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 SUMMIT SCHOOL RD # A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922903",
            "telephone_number": "703-494-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KATHRYN",
        "middle_name": "WINGO",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024176586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.