Organization Active NPI

Kinetic Pulmonology Associates

  • Nurse Practitioner
  • Potomac, MD
National Provider Identifier
1346096377
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KINETIC PULMONOLOGY ASSOCIATES
Practice address
9544 Newbridge Dr
Potomac, MD 20854-4480
Phone
(310) 664-2880
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Anna Norwood, CRNPNPI 1306335492
Title
Owner
Phone
(301) 664-2880

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

9544 Newbridge Dr
Potomac, MD 20854-4480

Mailing address

7110 Ayers Meadow LN
Springfield, VA 22150-4915
Phone (310) 664-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240815003697 NC Part B Supplier - Clinic/Group Practice 6608314067 Receives reassigned benefits from 2 practitioners
Practice locations: Huntersville, NC
O20250317003399 MD Part B Supplier - Clinic/Group Practice 6608314067 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1346096377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 AYERS MEADOW LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504915",
            "telephone_number": "310-664-2880",
            "fax_number": "855-945-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9544 NEWBRIDGE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544480",
            "telephone_number": "310-664-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PULMONOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "NORWOOD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-664-2880",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.