Individual provider Active NPI

Kathryn Ann Longworth, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Chesapeake, VA
National Provider Identifier
1205843695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024093820 Issued in VA
Practice address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone
(757) 312-6678
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024093820 VA Primary

Addresses

Primary practice location

736 Battlefield Blvd N
Chesapeake, VA 23320-4941

Mailing address

980 Speight Lyons Loop
Chesapeake, VA 23322-7413
Phone (757) 410-3808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000309 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426000977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

885 Kempsville Rd
Suite 114
Norfolk, VA 23502-3800
Phone (757) 466-0165

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024093820VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care ,LLC Current Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Sep 18, 2017 Accepting new patients
Capital Digestive Care, LLC CurrentSince Feb 4, 2022 Accepting new patients
Capital Digestive Care LLC CurrentSince Feb 4, 2022 Accepting new patients

Locations

113 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 436-3285

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

885 Kempsville Rd
Ste 114
Norfolk, VA 23502
Phone (757) 466-0165

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone (757) 483-6100

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 464-1644

400 Sentara Cir
Ste 103
Williamsburg, VA 23188
Phone (757) 253-5771

217 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 534-7701

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205843695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SPEIGHT LYONS LOOP",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227413",
            "telephone_number": "757-410-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204941",
            "telephone_number": "757-312-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWORTH",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024093820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.