Individual provider Active NPI

Keith Henry, ARNP-FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1467012120
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177706 Issued in VA
Practice address
5825 Plank Rd Ste 105
Fredericksburg, VA 22407-5207
Phone
(540) 785-3448
NPI assigned
Jun 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0024177706 NC
Pediatrics Physician 208000000X 0024177706 VA
Family Nurse Practitioner 363LF0000X 0024177706 VA Primary

Addresses

Primary practice location

5825 Plank Rd Ste 105
Fredericksburg, VA 22407-5207

Mailing address

5825 Plank Rd Ste 105
Fredericksburg, VA 22407-5207
Phone (540) 785-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0024177706NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urgent Care LLC CurrentSince Sep 21, 2022 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2022 Accepting new patients
Primary and Urgent Care LLC CurrentSince Nov 1, 2022 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Feb 1, 2021 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Oct 1, 2022 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Feb 1, 2021 Accepting new patients
Atlantic Knee Restoration & Regenerative Medicine - Richmond CurrentSince Jun 1, 2023 Accepting new patients
Goldsboro Pediatrics PA Pediatrics Past Accepting new patients
Urgent Care Travel, Inc PastSince Mar 1, 2020 Accepting new patients
Goldsboro Pediatrics PA Pediatrics Past Accepting new patients
Urgent Care Travel, Inc PastSince Mar 1, 2020 Accepting new patients

Locations

2306 Plank Rd
Ste 100
Fredericksburg, VA 22401
Phone (540) 785-9900

10009 Southpoint Pkwy
Ste 200
Fredericksburg, VA 22407
Phone (540) 288-9888

5825 Plank Rd
Ste 105
Fredericksburg, VA 22407
Phone (540) 785-2727

104 Cranberry Rd
Ste 200A
Galax, VA 24333
Phone (276) 236-9953

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

217 S Independence Ave
Independence, VA 24348
Phone (276) 773-2063

7481 Right Flank Rd
Ste 100
Mechanicsvlle, VA 23116
Phone (804) 616-4515

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

Organizations & group practices 12

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": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1467012120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 PLANK RD STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224075207",
            "telephone_number": "540-785-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 PLANK RD STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224075207",
            "telephone_number": "540-785-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KEITH",
        "credential": "ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-15",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "0024177706",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0024177706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.