Individual provider Active NPI

Meggie Keogh, FNP

  • Primary Care Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1346693322
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024181602 Issued in VA
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

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018003629 VA Practitioner - Nurse Practitioner 2466828306 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN194427GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cavery Health Clinic CurrentSince Jun 13, 2023 Accepting new patients
Skyview Family Medicine PC Family CurrentSince Aug 8, 2022 Accepting new patients
Rivertown Medical Clinic Past Accepting new patients
Rivertown Medical Clinic PastSince Aug 1, 2013 Accepting new patients
Reis Pediatrics LLC PastSince Aug 8, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/21080/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCECCA
  • FHIR API: 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.

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

Verify at the official NPI Registry.