Organization Active NPI

Kampieda Health Care Agency LLC

  • Acute Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1336739929
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Gissella ManaNPI 1033473582
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)CodeLicenseStatePrimary
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, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230621003712 VA Part B Supplier - Clinic/Group Practice 2466841093 Receives reassigned benefits from 1 practitioner
Practice locations: Stafford, VA
O20230726000974 MD Part B Supplier - Clinic/Group Practice 2466841093 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD
O20230802000017 DC Part B Supplier - Clinic/Group Practice 2466841093 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.