Individual provider Active NPI

Kathleen A Wade, N.P.

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1245270818
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024468818 Issued in VA
Practice address
5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone
(804) 913-7029
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 0024468818 VA Primary

Addresses

Primary practice location

5246 Chamberlayne Rd
Richmond, VA 23227-2950

Mailing address

PO Box 746871
Atlanta, GA 30374-6871
Phone (469) 727-6675

Other practice location 1

1329 Kempsville Rd
Chesapeake, VA 23320
Phone (757) 312-0502

Other identifiers 1

IdentifierTypeStateIssuer
2585546MedicaidOH

Other names 1

  • Kathleen A Myers Former name

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
I20120914000509 VA Practitioner - Nurse Practitioner 9739147687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
78.67
Improvement activities
40
Cost
83.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024468818VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-VA Physicians Group PLLC CurrentSince May 13, 2024 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
North Carolina Em I Medical Services P C Past Accepting new patients
Waterway Emergency Physicians LLC Past Accepting new patients
Nova Physician Group PLLC PastSince May 12, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1800 Frederick Blvd
#A
Portsmouth, VA 23707
Phone (757) 337-6000

5246 Chamberlayne Rd
Richmond, VA 23227
Phone (804) 913-7029

3900 Hull St Rd
Richmond, VA 23224
Phone (804) 292-7620

Organizations & group practices 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1245270818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746871",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746871",
            "telephone_number": "469-727-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 CHAMBERLAYNE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272950",
            "telephone_number": "804-913-7029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 Kempsville Rd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "23320",
            "country_code": "US",
            "telephone_number": "757-312-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024468818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2585546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MYERS",
            "middle_name": "A",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.