Kathryn Leigh Anderson, FNP, RN
Individual provider Active NPI Family Nurse Practitioner · Henrico, VA
NPI 1629406129 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1629406129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024178930 (VA)
- Practice address
- 9000 Staples Mill Rd
Henrico, VA 23228-2021 - Phone
- (804) 977-9526
- NPI assigned
- Oct 18, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.019948 | OH | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.019948 | OH | |
| Family Nurse Practitioner | 363LF0000X | 0024178930 | VA | Yes |
Addresses
Primary practice location
9000 Staples Mill Rd
Henrico, VA 23228-2021
Mailing address
507 Sampson Rd
Dahlgren, VA 22448-3028
Phone (580) 618-2992
Other providers in Henrico, VA
- Vishnu Ambur
- American Mobility Company LLC
- Amor and Wellness LLC
- Akayla Anderson
- Johnzelle Jeffrey Anderson
- Keesha Lawanda Anderson
- Nicole Marie Anderson
- Andrea M Stern, Psy.D., LCP, PLLC
- Andrew Napoli Wellness Services
- Angel of Mine Home Health LLC
All providers in Henrico, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.