Active NPI
Katherine Beckett Berger, MD
- Pediatrics Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101261785
- Practice address
- 1201 Lake James Dr Ste 200
Virginia Beach, VA 23464-6780 - Phone
- (757) 523-0022
- NPI assigned
- Apr 16, 2014
- Last updated
- Jan 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 28142 | WV | |
| Pediatrics Physician | 208000000X | 0101261785 | VA | Primary |
Addresses
Primary practice location
1201 Lake James Dr Ste 200
Virginia Beach, VA 23464-6780
Mailing address
1201 Lake James Dr Ste 200
Virginia Beach, VA 23464-6780
Phone (757) 523-0022
Other practice location 1
9000 Coombs Farm Rd Ste 102
Morgantown, WV 26508-1150
Phone (757) 663-1160
Other practice location 2
601 Children's Lane
Norfolk, VA 23507-9982
Phone (757) 668-7486
Other practice location 3
139 Conference Center Way Ste 113
Bridgeport, WV 26330
Phone (757) 663-1160
Other names 1
- Ms. Katherine Marie Beckett
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28142 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Childrens Specialty Group PLLC | Pediatrics | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients |
Locations
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
8644 Sudley Rd
#220
Manassas, VA 20110
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
1201 Lake James Dr
Ste 200
Virginia Beach, VA 23464
Phone (757) 523-0022
Organizations & group practices 3
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.
-
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- Norfolk, VA
- NPI 1255354130
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- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1275952376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 LAKE JAMES DR STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234646780",
"telephone_number": "757-523-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LAKE JAMES DR STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234646780",
"telephone_number": "757-523-0022"
}
],
"practiceLocations": [
{
"address_1": "9000 Coombs Farm Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265081150",
"country_code": "US",
"telephone_number": "757-663-1160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Children's Lane",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235079982",
"country_code": "US",
"telephone_number": "757-668-7486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "139 Conference Center Way Ste 113",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "26330",
"country_code": "US",
"telephone_number": "757-663-1160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGER",
"first_name": "KATHERINE",
"middle_name": "BECKETT",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-16",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "28142",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101261785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "BECKETT",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.