Active NPI
Kampieda Health Care Agency LLC
- Acute Care Nurse Practitioner
- Richmond, VA
National Provider Identifier
1336739929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- Legal business name
- KAMPIEDA HEALTH CARE AGENCY LLC
- Practice address
- 1414 W Marshall St
Richmond, VA 23220-3058 - Phone
- (301) 640-8687
- NPI assigned
- Jan 19, 2021
- Last updated
- Jul 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gissella Mana
- Title
- Owner
- Phone
- (301) 640-8687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Community Based Hospice Care Agency | 251G00000X | NU | ||
| Acute Care Nurse Practitioner | 363LA2100X | NU | Primary | |
| Chore Provider | 372500000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
1414 W Marshall St
Richmond, VA 23220-3058
Mailing address
1414 W Marshall St
Richmond, VA 23220-3058
Phone (301) 640-8687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD, DC
Enrollment records 3
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689724800000",
"number": "1336739929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232203058",
"telephone_number": "301-640-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232203058",
"telephone_number": "301-640-8687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMPIEDA HEALTH CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A",
"authorized_official_last_name": "MANA",
"authorized_official_first_name": "GISSELLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-640-8687"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.