Individual provider Active NPI

Katherine Mary Kemper-Dean, CRNP

  • Adult Health Nurse Practitioner
  • Olney, MD
National Provider Identifier
1376863837
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R089866 Issued in MD
Practice address
18121 Georgia Ave
Suite 103
Olney, MD 20832-1437
Phone
(301) 933-5050
Fax
(301) 949-3262
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R089866 MD Primary
Gerontology Nurse Practitioner 363LG0600X R089866 MD

Addresses

Primary practice location

18121 Georgia Ave
Suite 103
Olney, MD 20832-1437

Mailing address

9908 Dallas Ave
Silver Spring, MD 20901-2237
Phone (301) 593-1443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101213000183 DC Practitioner - Nurse Practitioner 6002003340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

1201 Seven Locks Rd
Suite 111
Rockville, MD 20854-2957
Phone (301) 762-5020

18121 Georgia Ave
Suite 103
Olney, MD 20832-1437
Phone (301) 762-5020

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 23, 2016 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 23, 2016 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

18121 Georgia Ave
Ste 103
Olney, MD 20832
Phone (301) 762-5020

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katherine.kemper-dean.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1376863837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 DALLAS AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012237",
            "telephone_number": "301-593-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18121 GEORGIA AVE",
            "address_2": "SUITE 103",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321437",
            "telephone_number": "301-933-5050",
            "fax_number": "301-949-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER-DEAN",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R089866",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R089866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.