Individual provider Active NPI

Kevin Franklin Dunivan, AGAC-NP

  • Acute Care Nurse Practitioner
  • Chester, VA
National Provider Identifier
1346762440
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024175049 Issued in VA
Practice address
12901 Briggs Rd
Chester, VA 23831-5335
Phone
(804) 715-4709
Fax
(804) 715-4714
NPI assigned
Jul 10, 2017
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024175049 VA Primary

Addresses

Primary practice location

12901 Briggs Rd
Chester, VA 23831-5335

Mailing address

12901 Briggs Rd
Chester, VA 23831-5335
Phone (804) 715-4709

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
I20191218002858 VA Practitioner - Nurse Practitioner 7618301987 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain & Spine Specialists, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Feel Better Global LLC CurrentSince Sep 29, 2024 Accepting new patients
Richmond Spine Interventions and Pain Center, PC CurrentSince Aug 31, 2019 Accepting new patients
Midlothian Medi LLC Past Accepting new patients

Locations

12230 Branders Creek Dr
Chester, VA 23831
Phone (804) 715-4709

12901 Briggs Rd
Chester, VA 23831
Phone (804) 796-2373

12901 Briggs Rd
Ste 101
Chester, VA 23831
Phone (804) 939-7065

14404 Sommerville Ct
Midlothian, VA 23113
Phone (540) 997-9455

5901 W Broad St
Richmond, VA 23230
Phone (804) 249-8888

Interoperability endpoints

  • Direct secure messaging: dunivan.kevin.1@6303.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1346762440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 BRIGGS RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238315335",
            "telephone_number": "804-715-4709",
            "fax_number": "804-715-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 BRIGGS RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238315335",
            "telephone_number": "804-715-4709",
            "fax_number": "804-715-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNIVAN",
        "first_name": "KEVIN",
        "middle_name": "FRANKLIN",
        "credential": "AGAC-NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024175049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.