Active NPI
Kristine Catherine Timerson
- Family Nurse Practitioner
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024176383
- Practice address
- 1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465 - Phone
- (540) 741-4332
- NPI assigned
- Jun 6, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001227919 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024176383 | VA | Primary |
Addresses
Primary practice location
1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465
Mailing address
1101 Sam Perry Blvd Ste 207
Fredericksburg, VA 22401-4465
Phone (540) 741-4332
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-4350
1201 B Sam Perry Blvd
Suite 280
Fredericksburg, VA 22401-8457
Phone (540) 741-5502
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001227919 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Cardiac and Vascular LLC | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Providers LLC | Current | Accepting new patients | |
| Pathology Associates of Fredericksburg PTR | Current | Accepting new patients | |
| Mary Washington Hospital, Inc. | Current | Accepting new patients | |
| Mary Washington Hospital Inc. | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients |
Locations
3687 Fettler Park Dr
Dumfries, VA 22025
Phone (540) 666-6181
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
406 Chatham Square Office Park
Fredericksburg, VA 22405
Phone (540) 300-6182
1101 Sam Perry Blvd
Ste 211
Fredericksburg, VA 22401
Phone (540) 372-7792
1101 Sam Perry Blvd
Ste 207
Fredericksburg, VA 22401
Phone (540) 372-7792
1201 Sam Perry Blvd
Ste 280
Fredericksburg, VA 22401
Phone (540) 361-2922
9530 Cosner Dr
Ste 200
Fredericksburg, VA 22408
Phone (540) 373-1331
5411D Backlick Rd
Ste 100
Springfield, VA 22151
Phone (703) 563-1575
125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500
125 Hospital Center Blvd
Ste 221
Stafford, VA 22554
Phone (540) 741-5501
Interoperability endpoints
- ktimerson54996@marywashingtonhealthcare.direct-ci.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1366905523
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Anatomic Pathology Physician
- Fredericksburg, VA
- NPI 1033150982
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1285127019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SAM PERRY BLVD STE 207",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014465",
"telephone_number": "540-741-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SAM PERRY BLVD STE 207",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014465",
"telephone_number": "540-741-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMERSON",
"first_name": "KRISTINE",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001227919",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024176383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.
- 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.