NPIMap

Individual provider Active NPI

Jere' S Kitchen, FNP

  • Family Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1144365909
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165223 Issued in VA
Practice address
1807 Huguenot Rd
Suite 101
Midlothian, VA 23113-5604
Phone
(804) 378-7373
Fax
(804) 378-7728
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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 0024165223 VA Primary

Addresses

Primary practice location

1807 Huguenot Rd
Suite 101
Midlothian, VA 23113-5604

Mailing address

1529 Huguenot Rd Ste a
Midlothian, VA 23113-2426
Phone (804) 378-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425001902 VA Practitioner - Nurse Practitioner 8527367697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Primary CareGroup PAC ID 2264420918, 65 clinicians

Practice addresses (Care Compare)

1529 Huguenot Rd a
Midlothian, VA 23113-2426
Phone (804) 378-7373

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Primary Care CurrentSince Apr 22, 2016 Accepting new patients
Commonwealth Primary Care PastSince Apr 22, 2016 Accepting new patients

Locations

1529 Huguenot Rd
Ste A
Midlothian, VA 23113
Phone (804) 378-7373

1807 Huguenot Rd
Ste 101
Midlothian, VA 23113
Phone (804) 378-7373

7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141

1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399

Interoperability endpoints

  • Direct secure messaging: jere.kitchen@cpcva.eclinicaldirectplus.com

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1144365909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 HUGUENOT RD STE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132426",
            "telephone_number": "804-378-7373",
            "fax_number": "804-378-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 HUGUENOT RD",
            "address_2": "SUITE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135604",
            "telephone_number": "804-378-7373",
            "fax_number": "804-378-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "JERE'",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.