Kerecis LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KERECIS LLC

Practice address

2300 Clarendon Blvd Ste 1210
Arlington, VA 22201-3300

Phone

(703) 328-9091

Fax

(703) 287-8752

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Smith

Title

Executive Vice President

Phone

(703) 287-8752

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1265023543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CLARENDON BLVD STE 1210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013300",
            "telephone_number": "703-328-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CLARENDON BLVD STE 1210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013300",
            "telephone_number": "703-328-9091",
            "fax_number": "703-287-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERECIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "703-287-8752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Kendrick, SPT
• Deena Yael Kennedy, M.S. CCC-SLP
• Clara Kenny, BCBA
• Rhett Austin Kent, M.D.
• Jennifer Kepler
• Taran Kermani, L.AC
• Amanda Leigh Kern, CRNA
• Brittany Kern, RD
• Ashley Nicole Kerr, RNC-OB
• Nalini Kesari

• Customized Equipment (DME) in Arlington, VA
• Providers in Arlington, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.