Kathleen Nicole Dawood, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024186432 Issued in VA

Practice address

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688

Phone

(877) 415-4116

NPI assigned

Feb 14, 2023

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC, GA3 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 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Fauquier Physician Practices LLCGroup PAC ID 6406083104, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SGMC Health Hospital, Valdosta, GA, CCN 110122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kathleen.dawood.p1@direct.chv.nextgenshare.com

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.

• Fauquier Physician Practices LLC

  • Internal Medicine Physician
  • Warrenton, VA
  • NPI 1770916983
  Medicare reassignment Care Compare group NPD
• SGMC Physician Network Inc

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1417597170
  Medicare reassignment Care Compare group NPD
• Carient Heart & Vascular, LLC

  • Cardiovascular Disease Physician
  • Manassas, VA
  • NPI 1669982526

  DC

  Medicare reassignment NPD
• SGMC Affiliated Services LLC

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1114740362
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1104523794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "877-415-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "877-415-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sigonella US Naval Hospital",
            "address_2": "Building #273",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09636",
            "country_code": "US",
            "telephone_number": "757-635-7624",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "DAWOOD",
        "first_name": "KATHLEEN",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Davis
• Caroline Love Davis, P.A.-C
• Robert George Davis, M.D.
• Tod R Davis, O.D.
• Leslie A Davy, NP
• Flaviano Delacruz Dazo, F.N.P-C
• Maximo De la Cruz, QMHP-A-MA
• Madison Nicole De Leon, LCSW, LICSW
• Allannah Deahl
• Stella A Deakos, LCSW

• Family Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.