Individual provider Active NPI

Jennifer R Kost-Phillips, DO

  • Pediatrics Physician
  • Fredericksburg, VA
National Provider Identifier
1467503359
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102201979 Issued in VA
Practice address
331 Park Hill Dr
Fredericksburg, VA 22401
Phone
(540) 368-8091
Fax
(540) 368-8095
NPI assigned
Jan 16, 2007
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102201979 VA Primary

Addresses

Primary practice location

331 Park Hill Dr
Fredericksburg, VA 22401

Mailing address

331 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 368-8091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000615 VA Practitioner - Pediatric Medicine 6709973753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102201979VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians Pediatrics CurrentSince Sep 1, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Sep 1, 2025 Accepting new patients

Locations

321 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 446-2654

331 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 368-8091

10600 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 604-9500

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

9755 Courthouse Rd
Ste 101
Spotsylvania, VA 22553
Phone (540) 898-9680

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1467503359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-368-8091",
            "fax_number": "540-368-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-368-8091",
            "fax_number": "540-368-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOST-PHILLIPS",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102201979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.