Jennifer A Kiggans, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024170457 Issued in VA

Practice address

825 Fairfax Ave Ste 201
Norfolk, VA 23507

Phone

(757) 446-7040

Fax

(757) 446-7049

NPI assigned

Nov 7, 2012

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Tidewater Family Practice, P.C.

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1750462628
  Medicare reassignment NPD

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1033463476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235010936",
            "telephone_number": "757-446-7040",
            "fax_number": "757-446-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FAIRFAX AVE STE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-446-7040",
            "fax_number": "757-446-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGGANS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024170457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRESCRIBE",
            "identifier": "0017140770",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "0024170457",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033463476",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ki Home Healthcare LLC
• Maryam Kia, MD, MSC
• Kidney and Medical Specialists, P.C.
• Kids Kin N Caregivers
• James Matthew Kiely, M.D.
• Kayleen Kihle
• Laura J Kihlstrom, MD
• Tina Kilby
• Iuliia Kim
• Man Hyong Kim, M.D.

• Gerontology Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.

Verify at the official NPI Registry.