Kathryn Humphrey Myers, NNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

0024177929 Issued in VA

Practice address

3300 Gallows Rd
Falls Church, VA 22042-3300

Phone

(703) 289-1400

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fairfax Neonatal Associates, LLC

  • Neonatal-Perinatal Medicine Physician
  • Fairfax, VA
  • NPI 1821055609
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1417500810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 LAKE ASHBY CT",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201875868",
            "telephone_number": "540-818-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423300",
            "telephone_number": "703-289-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KATHRYN",
        "middle_name": "HUMPHREY",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "VA",
            "license": "0024177929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janna Mustafina, CRNP-FNP
• Mutahar Fauzia MD (Virginia Women Clinic)
• Ponnia Achu Muyen
• My Psychiatrist Falls Church, PLC
• Jessica Catherine Myers
• Kelsey J Myers, LMFT
• Lynne D. Myers, M.D.
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Kimberly S Myruski, M.D

• Critical Care Neonatal Nurse Practitioner in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Critical Care Neonatal Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.