Kathleen Marie Anderson, NP

Key facts

NPI

1104157650

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

0024164345 (VA)

Practice address

2300 Dumbarton Rd
Richmond, VA 23228-6014

Phone

(804) 874-7949

NPI assigned

Jan 22, 2010

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Mid-Atlantic Post Acute & Long Term Care PLLC Geriatric Medicine (Internal Medicine) Physician · Norfolk, VA · NPI 1225557556
  Medicare reassignment Care Compare group NPD VA
• SE Virginia Value Based Care, LLC Geriatric Medicine (Internal Medicine) Physician · Norfolk, VA · NPI 1225720501
  Medicare reassignment Care Compare group NPD VA

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SE Virginia Value Based Care LLC (160 clinicians)
Mid-Atlantic Post Acute and Long Term Care PLLC (142 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2014.

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1104157650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231130693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DUMBARTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232286014",
            "telephone_number": "804-874-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164345",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024164345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

• Eric Anderson, DC
• James C Anderson, M.D.
• Jennifer Leigh Anderson, DNP, NP-C
• Jonathan Anderson, LPC
• Kathi K Anderson, L.P.C.
• Kegan Anderson
• Kimberly K Anderson, M.D.
• Kirstin Elizabeth Anderson, DPT
• Kristin Whitney Anderson, PA-C
• Lauren Anderson, LPC

All providers in Richmond, VA · Nurse Practitioner in Virginia