Active NPI
Kathryn J Jaquette, F.N.P
- Family Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024055092
- Practice address
- 3025 Berkmar Dr
Suite 1
Charlottesville, VA 22901-1456 - Phone
- (434) 973-1831
- Fax
- (434) 973-1919
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024055092 | VA | Primary |
Addresses
Primary practice location
3025 Berkmar Dr
Suite 1
Charlottesville, VA 22901-1456
Mailing address
3025 Berkmar Dr
Suite 1
Charlottesville, VA 22901-1456
Phone (434) 973-1831
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024055092 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients |
Locations
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
3025 Berkmar Dr
Ste 1
Charlottesvle, VA 22901
Phone (434) 973-1831
3025 Berkmar Dr
Charlottesvle, VA 22901
Phone (434) 973-1831
8644 Sudley Rd
#220
Manassas, VA 20110
7605 Forest Ave
Ste 316
Richmond, VA 23229
Phone (804) 282-0044
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.
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-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1174536791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 BERKMAR DR",
"address_2": "SUITE 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011456",
"telephone_number": "434-973-1831",
"fax_number": "434-973-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 BERKMAR DR",
"address_2": "SUITE 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011456",
"telephone_number": "434-973-1831",
"fax_number": "434-973-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAQUETTE",
"first_name": "KATHRYN",
"middle_name": "J",
"credential": "F.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024055092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.