Individual provider Active NPI

Katherine Patterson

  • Driver
  • Stafford, VA
National Provider Identifier
1295100162
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
T67318077 Issued in VA
Practice address
2124 Jefferson Davis Hwy
Suite 303B
Stafford, VA 22554-7264
Phone
(540) 602-7619
Fax
(540) 602-7908
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X T67318077 VA Primary

Addresses

Primary practice location

2124 Jefferson Davis Hwy
Suite 303B
Stafford, VA 22554-7264

Mailing address

2124 Jefferson Davis Hwy
Suite 303B
Stafford, VA 22554-7264
Phone (540) 602-7619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T67318077VAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1295100162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 303B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547264",
            "telephone_number": "540-602-7619",
            "fax_number": "540-602-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 303B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547264",
            "telephone_number": "540-602-7619",
            "fax_number": "540-602-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T67318077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.