NPIMap

Organization Active NPI

KCR Healthcare, PLLC

  • Primary Care Clinic/Center
  • Richmond, VA
National Provider Identifier
1104263268
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0024146888 Issued in VA
Legal business name
KCR HEALTHCARE, PLLC
Practice address
1805 Monument Ave
Suite 410
Richmond, VA 23220-7005
Phone
(804) 921-1164
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Ms. Carol J. Pollock, RN, FNP
Title
Owner
Phone
(804) 921-1164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0024146888 VA Primary

Addresses

Primary practice location

1805 Monument Ave
Suite 410
Richmond, VA 23220-7005

Mailing address

1805 Monument Ave
Suite 410
Richmond, VA 23220-7005
Phone (804) 921-1164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1104263268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 MONUMENT AVE",
            "address_2": "SUITE 410",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232207005",
            "telephone_number": "804-921-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 MONUMENT AVE",
            "address_2": "SUITE 410",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232207005",
            "telephone_number": "804-921-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCR HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-921-1164",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0024146888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.