Individual provider Active NPI

Cathy Duncan, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1114179272
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167980 Issued in VA
Practice address
1301 Sam Perry Blvd Ste 100
Fredericksburg, VA 22401
Phone
(540) 741-1061
Fax
(540) 741-1096
NPI assigned
Oct 21, 2008
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0024167980 VA Primary

Addresses

Primary practice location

1301 Sam Perry Blvd Ste 100
Fredericksburg, VA 22401

Mailing address

36 River Farm Dr
Fredericksburg, VA 22405-5932
Phone (540) 720-2060

Other practice location 1

12101 Carol Lane
Fredericksburg, VA 22407
Phone (540) 785-7810

Other identifiers 2

IdentifierTypeStateIssuer
1114179272OtherVATRICARE PRIME
1114179272MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Fredericksburg

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024167980VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Area Regional Health Council Past Accepting new patients
Fredericksburg Area Regional Health Council Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114179272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RIVER FARM DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224055932",
            "telephone_number": "540-720-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-741-1061",
            "fax_number": "540-741-1096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12101 Carol Lane",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "22407",
            "country_code": "US",
            "telephone_number": "540-785-7810",
            "fax_number": "540-786-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "CATHY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME",
            "identifier": "1114179272",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114179272",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fredericksburg",
            "affiliation": "Y",
            "endpointDescription": "email",
            "address_1": "1301 Sam Perry Blvd Ste 100",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.