Individual provider Active NPI

Kimberly McFadden

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1023766466
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182507 Issued in VA
Practice address
3514 W Cary St
Richmond, VA 23221-2729
Phone
(866) 389-2727
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182507 VA Primary

Addresses

Primary practice location

3514 W Cary St
Richmond, VA 23221-2729

Mailing address

1106 Duckbill CT
Midlothian, VA 23113-2714
Phone (804) 201-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20220329000865 VA Practitioner - Nurse Practitioner 9931595022 Reassigns benefits to 4 organizations
I20241218000703 DC Practitioner - Nurse Practitioner 9931595022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

Practice addresses (Care Compare)

3514 W Cary St
Richmond, VA 23221-2729
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024182507VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Dec 4, 2024 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Little Clinic of VA LLC Family CurrentSince Mar 19, 2022 Accepting new patients
Minuteclinic Primary Care - Virginia PLLC Family CurrentSince Jul 16, 2025 Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

7205 Little River Tpke
Annandale, VA 22003
Phone (703) 256-4030

10250 Bristow Center Dr
Bristow, VA 20136
Phone (703) 369-1739

10800 Iron Bridge Rd
Chester, VA 23831
Phone (804) 318-5580

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

7000 Tim Price Way
North Chesterfield, VA 23225
Phone (804) 772-8541

3514 W Cary St
Richmond, VA 23221
Phone 8043558533 ext. 8223

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1023766466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 DUCKBILL CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132714",
            "telephone_number": "804-201-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 W CARY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212729",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.