Active NPI
Residential Medical Kare, LLC
- Gerontology Nurse Practitioner
- Vienna, VA
National Provider Identifier
1396577045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- RESIDENTIAL MEDICAL KARE, LLC
- Practice address
- 10214 Brittenford Dr
Vienna, VA 22182-1865 - Phone
- (703) 851-6771
- Fax
- (703) 665-4154
- NPI assigned
- Aug 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosemarie McCahill Kormanec, AGNPPC-BC
- Title
- Nurse Practitioner
- Phone
- (703) 851-6771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
10214 Brittenford Dr
Vienna, VA 22182-1865
Mailing address
10214 Brittenford Dr
Vienna, VA 22182-1865
Phone (703) 851-6771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1396577045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10214 BRITTENFORD DR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221821865",
"telephone_number": "703-851-6771",
"fax_number": "703-665-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10214 BRITTENFORD DR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221821865",
"telephone_number": "703-851-6771",
"fax_number": "703-665-4154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESIDENTIAL MEDICAL KARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "KORMANEC",
"authorized_official_first_name": "ROSEMARIE",
"authorized_official_middle_name": "MCCAHILL",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "703-851-6771",
"authorized_official_credential": "AGNPPC-BC"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.