Individual provider Active NPI

Kathie Hiles, N.P.

  • Family Nurse Practitioner
  • Broadway, VA
National Provider Identifier
1487629218
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024082703 Issued in VA
Practice address
13892 Timber Way
Broadway, VA 22815-3332
Phone
(540) 901-0800
Fax
(757) 578-8547
NPI assigned
Feb 23, 2006
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 0024082703 VA Primary

Addresses

Primary practice location

13892 Timber Way
Broadway, VA 22815-3332

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 901-0800

Other identifiers 1

IdentifierTypeStateIssuer
1487629218MedicaidVA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000809 VA Practitioner - Nurse Practitioner 8820158629 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024082703VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
RMH Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

13892 Timber Way
Broadway, VA 22815
Phone (540) 901-0800

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

Interoperability endpoints

  • Direct secure messaging: khiles225613@direct.sentara.net

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1487629218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-901-0800",
            "fax_number": "757-578-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13892 TIMBER WAY",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228153332",
            "telephone_number": "540-901-0800",
            "fax_number": "757-578-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILES",
        "first_name": "KATHIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024082703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487629218",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadway, VA

Sources for this page

Verify at the official NPI Registry.