Active NPI
Meggie Keogh, FNP
- Primary Care Nurse Practitioner
- Woodbridge, VA
National Provider Identifier
1346693322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 0024181602
- Practice address
- 14330 Gideon Dr Ste B
Woodbridge, VA 22192-4640 - Phone
- (571) 408-6800
- NPI assigned
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN194427 | GA | |
| Primary Care Nurse Practitioner | 363LP2300X | 0024181602 | VA | Primary |
Addresses
Primary practice location
14330 Gideon Dr Ste B
Woodbridge, VA 22192-4640
Mailing address
14430 Gideon Drive
Suite B
Woodbridge, VA 22192-3612
Phone (571) 408-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN194427 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cavery Health Clinic | Current | Accepting new patients | |
| Skyview Family Medicine PC | Family | Current | Accepting new patients |
| Rivertown Medical Clinic | Past | Accepting new patients | |
| Rivertown Medical Clinic | Past | Accepting new patients | |
| Reis Pediatrics LLC | Past | Accepting new patients | |
| Cavery Wellness of Woodbridge, LLC | Past | Accepting new patients |
Locations
7500 Iron Bar Ln
Ste 100
Gainesville, VA 20155
Phone (703) 753-1200
14330 Gideon Dr
Ste B
Woodbridge, VA 22192
Phone (571) 408-6800
14330 Gideon Dr
Woodbridge, VA 22192
Phone (571) 408-9139
Interoperability endpoints
- https://api.platform.athenahealth.com/21080/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BCECCA
- https://fhir4.healow.com/fhir/r4/BCECCA/Endpoint/BCECCA
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Woodbridge, VA
- NPI 1700441326
-
- Family Medicine Physician
- Gainesville, VA
- NPI 1538400619
-
- Family Medicine Physician
- Woodbridge, VA
- NPI 1831620251
-
- Pediatrics Physician
- Kailua, HI
- NPI 1902196314
-
- Urgent Care Clinic/Center
- Columbus, GA
- NPI 1932226693
-
- Family Medicine Physician
- Columbus, GA
- NPI 1962516120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1346693322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14430 GIDEON DRIVE",
"address_2": "SUITE B",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221923612",
"telephone_number": "571-408-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14330 GIDEON DR STE B",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924640",
"telephone_number": "571-408-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOGH",
"first_name": "MEGGIE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2023-10-20",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN194427",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "VA",
"license": "0024181602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.