Individual provider Active NPI

Kelsey Harman

  • Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1467938845
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176348 Issued in VA
Practice address
7401 Beaufont Springs Dr Ste 100
North Chesterfield, VA 23225-5504
Phone
(804) 203-2350
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024176348 VA Primary

Addresses

Primary practice location

7401 Beaufont Springs Dr Ste 100
North Chesterfield, VA 23225-5504

Mailing address

6515 W Junaluska Dr
Richmond, VA 23225-2219

Other identifiers 1

IdentifierTypeStateIssuer
0024176348OtherVANURSE PRACTITIONER LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230716000120 DC Practitioner - Nurse Practitioner 3870846249 Reassigns benefits to 1 organization
I20231117000421 MD Practitioner - Nurse Practitioner 3870846249 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Padder Health Services, LLC Nurse Practitioner CurrentSince Jun 5, 2023 Accepting new patients
Padder Health Services, LLC Nurse Practitioner CurrentSince Jun 5, 2023 Accepting new patients

Locations

9710 Patuxent Woods Dr
Ste 100
Columbia, MD 21046
Phone (301) 560-4747

8850 Columbia 100 Pkwy
Ste 301
Columbia, MD 21045
Phone (240) 456-4772

8850 Columbia 100 Pkwy
Ste 308
Columbia, MD 21045
Phone (301) 560-4747

7350 Van Dusen Rd
Ste 130
Laurel, MD 20707
Phone (301) 498-8880

7350 Van Dusen Rd
Ste B40
Laurel, MD 20707
Phone (240) 456-4772

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEBAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1467938845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 W JUNALUSKA DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 BEAUFONT SPRINGS DR STE 100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255504",
            "telephone_number": "804-203-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "0024176348",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.