Individual provider Active NPI

Keith Lathrop, CRNA

  • Certified Registered Nurse Anesthetist
  • Woodbridge, VA
National Provider Identifier
1659420628
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024173719 Issued in VA
Practice address
14904 Richmond Hwy Ste 104
Woodbridge, VA 22191-3908
Phone
(703) 497-4222
Fax
(703) 492-0164
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024173719 VA Primary

Addresses

Primary practice location

14904 Richmond Hwy Ste 104
Woodbridge, VA 22191-3908

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (786) 530-3820

Other practice location 1

14010 Smoketown Rd Ste 117
Woodbridge, VA 22192-4723
Phone (703) 580-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181102000320 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517210842 Reassigns benefits to 1 organization
I20210809001492 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517210842 Reassigns benefits to 2 organizations
I20231023002321 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517210842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Dominion Anesthesia LLCGroup PAC ID 8820462765, 57 clinicians

Practice addresses (Care Compare)

14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4723
Phone (703) 580-0181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC CurrentSince Dec 27, 2023 Accepting new patients
Reston Anesthesia Associates, PC CurrentSince Sep 6, 2023 Accepting new patients
Old Dominion Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2025 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

715 Camden St
San Antonio, TX 78215
Phone (210) 692-0218

1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393

1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

9321 Sanger St
#200
Lorton, VA 22079
Phone (703) 300-8428

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

14904 Richmond Hwy
Ste 104
Woodbridge, VA 22191

14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone 7035800181135

Organizations & group practices 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1659420628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "786-530-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14904 RICHMOND HWY STE 104",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-497-4222",
            "fax_number": "703-492-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14010 Smoketown Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924723",
            "country_code": "US",
            "telephone_number": "703-580-0181",
            "fax_number": "703-897-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATHROP",
        "first_name": "KEITH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024173719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.