Individual provider Active NPI

Jennifer Larson Kurrle, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1447358577
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166930 Issued in VA
Practice address
1212 Lake James Dr
Suite C
Virginia Beach, VA 23464-6779
Phone
(757) 523-4589
Fax
(757) 523-8920
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001182432 VA
Family Nurse Practitioner 363LF0000X 0024166930 VA Primary

Addresses

Primary practice location

1212 Lake James Dr
Suite C
Virginia Beach, VA 23464-6779

Mailing address

1109 Flower St
Virginia Beach, VA 23455-3883
Phone (202) 271-1943

Other names 1

  • Jennifer Marie Larson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001182432VAMDRegistered Nurse
0024166930VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics of Kempsville, P.C. Past Accepting new patients

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1447358577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 FLOWER ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553883",
            "telephone_number": "202-271-1943",
            "fax_number": "757-523-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 LAKE JAMES DR",
            "address_2": "SUITE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646779",
            "telephone_number": "757-523-4589",
            "fax_number": "757-523-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURRLE",
        "first_name": "JENNIFER",
        "middle_name": "LARSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001182432",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LARSON",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.