Active NPI
Kathryn Wingo Burns, RN, CPNP
- Pediatric Nurse Practitioner
- Woodbridge, VA
National Provider Identifier
1023591971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024176586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Anez & Bitar Medical PC | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | 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
- https://fhir4.healow.com/fhir/r4/AEDHBD/Endpoint/AEDHBD
- 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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Pediatrics Physician
- MC Lean, VA
- NPI 1043403397
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.