Individual provider Active NPI

Cathleen M Furry, NP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1174109219
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178932 Issued in VA
Practice address
3390 Colonial Ave
Roanoke, VA 24018-3740
Phone
(540) 772-1006
NPI assigned
Mar 19, 2021
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 0024178932 VA Primary

Addresses

Primary practice location

3390 Colonial Ave
Roanoke, VA 24018-3740

Mailing address

4543 Stonewall Rd NW
Roanoke, VA 24017-4341
Phone (540) 598-0968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240102000270 VA Practitioner - Nurse Practitioner 2567812779 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024178932VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Family Medicine Inc CurrentSince Nov 19, 2023 Accepting new patients

Locations

3390 Colonial Ave
Roanoke, VA 24018
Phone (540) 527-1198

Organizations & group practices 1

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1174109219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 STONEWALL RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174341",
            "telephone_number": "540-598-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183740",
            "telephone_number": "540-772-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURRY",
        "first_name": "CATHLEEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.