NPIMap

Individual provider Active NPI

Kathryn Rose Donovan, DO

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1164059887
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01012207768 Issued in VA
Practice address
6900 Forest Ave Ste 300
Richmond, VA 23230-1730
Phone
(804) 346-1515
Fax
(804) 270-2888
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01012207768 VA Primary

Addresses

Primary practice location

6900 Forest Ave Ste 300
Richmond, VA 23230-1730

Mailing address

6900 Forest Ave Ste 300
Richmond, VA 23230-1730
Phone (804) 346-1515

Other names 1

  • Kathryn Rose Jackson Former name

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
I20230726004171 VA Practitioner - Family Practice 3375904121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

6900 Forest Ave
Suite 300
Richmond, VA 23230-1730
Phone (804) 346-1515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
01012207768VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians Inc CurrentSince Sep 5, 2023 Accepting new patients
Virginia Physicians, Inc Current Accepting new patients
Virginia Physicians, Inc CurrentSince Sep 5, 2023 Accepting new patients
Virginia Physicians, Inc. Family Medicine Past Accepting new patients

Locations

6900 Forest Ave
Ste 300
Richmond, VA 23230
Phone (804) 346-1500

Interoperability endpoints

  • Direct secure messaging: kathryn.donovan@vpi.eclinicaldirectplus.com

Organizations & group practices 4

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1164059887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 FOREST AVE STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301730",
            "telephone_number": "804-346-1515",
            "fax_number": "804-270-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 FOREST AVE STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301730",
            "telephone_number": "804-346-1515",
            "fax_number": "804-270-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "01012207768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "JACKSON",
            "middle_name": "ROSE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.