NPIMap

Individual provider Active NPI

Jennifer Kashurba, FNP

  • Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1306568936
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024185185 Issued in VA
Practice address
13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone
(804) 594-7300
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024185185 VA Primary

Addresses

Primary practice location

13710 St Francis Blvd
Midlothian, VA 23114-3267

Mailing address

15100 Monks PL
Chesterfield, VA 23832-2080
Phone (571) 334-9404

Other names 1

  • Jennifer Diseati Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221229000159 VA Practitioner - Nurse Practitioner 1557731924 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Virginia Hospitalists PCGroup PAC ID 6507245131, 109 clinicians

Practice addresses (Care Compare)

13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (804) 594-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024185185VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Virginia Hospitalists PC CurrentSince Nov 1, 2022 Accepting new patients
Harmony at Home Provider Services LLC CurrentSince May 5, 2026 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Feb 23, 2026 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

1504 Santa Rosa Rd
Rm 116
Henrico, VA 23229
Phone (804) 210-3103

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1306568936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 MONKS PL",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322080",
            "telephone_number": "571-334-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 ST FRANCIS BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143267",
            "telephone_number": "804-594-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHURBA",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024185185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DISEATI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.