Individual provider Active NPI

Kameron Latrice Kilgore, CRNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1437591906
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1016088 Issued in DC
Practice address
1605 Kenilworth Ave NE
Washington, DC 20019
Phone
(202) 803-2340
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1016088 DC Primary

Addresses

Primary practice location

1605 Kenilworth Ave NE
Washington, DC 20019

Mailing address

1251B Saratoga Ave NE
Washington, DC 20018-1025
Phone (202) 832-8818

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
I20140822001582 DC Practitioner - Nurse Practitioner 8426276015 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care Inc. CurrentSince Sep 21, 2018 Accepting new patients
Unity Health Care, Inc. CurrentSince Sep 21, 2018 Accepting new patients
Elaine Ellis Center of Health, Inc. Past Accepting new patients
Providence Health Services Inc Past Accepting new patients

Locations

1251B Saratoga Ave NE
Washington, DC 20018
Phone (202) 832-8818

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1437591906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251B SARATOGA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181025",
            "telephone_number": "202-832-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20019",
            "telephone_number": "202-803-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "KAMERON",
        "middle_name": "LATRICE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1016088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.