NPIMap

Individual provider Active NPI

Katherine A Silveri, P.A.

  • Physician Assistant
  • Gainesville, VA
National Provider Identifier
1346584661
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007154 Issued in VA
Practice address
8078 Crescent Park Dr Ste 201
Gainesville, VA 20155-3449
Phone
(703) 753-4999
Fax
(703) 753-5915
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60694060 WA
Physician Assistant 363A00000X 1106013 NY
Physician Assistant 363A00000X 0110007154 VA Primary

Addresses

Primary practice location

8078 Crescent Park Dr Ste 201
Gainesville, VA 20155-3449

Mailing address

PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699

Other practice location 1

15585 NE 24th St
Bellevue, WA 98007-3836
Phone (888) 227-3312

Other names 1

  • Ms. Katherine Mothershead 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
I20200615002435 VA Practitioner - Physician Assistant 2668750191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

740 E Main St
Purcellville, VA 20132-3128
Phone (540) 338-7116

8078 Crescent Park Dr
Gainesville, VA 20155-3449
Phone (703) 753-4999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1106013NYMDPhysician Assistant
0110007154VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MWHC Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
Inova Physician Partners, Inc. - Specialists PastSince Jun 21, 2022 Accepting new patients

Locations

11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173

Interoperability endpoints

  • Direct secure messaging: ksilveri1066128@soc.inova.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1346584661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37189",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973189",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 CRESCENT PARK DR STE 201",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553449",
            "telephone_number": "703-753-4999",
            "fax_number": "703-753-5915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15585 NE 24th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073836",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERI",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60694060",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1106013",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MOTHERSHEAD",
            "prefix": "MS.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.