NPIMap

Organization Active NPI

Childrens Hospital of the Kings Daughters Inc

  • Psychiatric Hospital Unit
  • Norfolk, VA
National Provider Identifier
1669137121
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
Practice address
401 Gresham Dr
Norfolk, VA 23507
Phone
(757) 668-4673
NPI assigned
Nov 1, 2021
Organization subpart
Yes
Parent organization
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Kathryn J Abshire
Title
Senior VP Cfo
Phone
(757) 668-8565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

401 Gresham Dr
Norfolk, VA 23507

Mailing address

601 Childrens LN
Norfolk, VA 23507-1910
Phone (757) 668-9647

Other practice location 1

601 Childrens Ln
Norfolk, VA 23507-1910
Phone (757) 668-4673

Other practice location 2

850 Southampton Ave
Norfolk, VA 23510-1021
Phone (757) 668-9647

Other practice location 3

1924 Landstown Centre Way
Virginia Beach, VA 23456-1624
Phone (757) 668-4673

Other identifiers 1

IdentifierTypeStateIssuer
004900961MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120215000498 VA Part A Provider - Hospital 0941265284 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chesapeake, VA; Virginia Beach, VA; Suffolk, VA; Norfolk, VA; Newport News, VA
O20230522003445 VA Part A Provider - Hospital 0941265284 Practice locations: Norfolk, VA

Hospital certification: CCN 493301

Legal name
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
Doing business as
CHKD
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Apr 1, 1986
Last certification
Mar 23, 2018
Beds
206
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 5, 1914 in VA
Enrollment address
601 Childrens LN
Norfolk, VA 23507-1910
Main/Primary Hospital Location
Hospital subgroups
Children’s, Other

Hospital certification: CCN 49SE01

Legal name
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
Organization structure
CorporationNon-profit
Incorporated
May 5, 1914 in VA
Enrollment address
401 Gresham Dr
Norfolk, VA 23507-1910
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Childrens Hospital of the Kings Daughters IncCCN 493301
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp KD Inc20 organizations share this tax ID, including this one
Part of
Childrens Hosp KD Inc

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathryn Abshire Individual Corporate OfficerCfo Jul 4, 2022
Scott Nottingham Individual Corporate DirectorBoard Member Jul 1, 2020
Edward Whitmore Individual Corporate DirectorBoard Member Jul 1, 2019
Kim George Individual Corporate DirectorBoard Member Jul 1, 2017
Carl R St Remy Individual Corporate DirectorBoard Member Jul 1, 2022
Kevin Murphy Individual Corporate DirectorBoard Member Jul 1, 2019
Amy McClanan Individual W-2 Managing EmployeePatient Account Director Mar 15, 2023
Elanor B Smith Individual Corporate DirectorBoard Member Jul 1, 2018
Owen Griffin Individual Corporate DirectorBoard Member Jul 1, 2020
Miles B Leon Individual Corporate DirectorBoard Member Jul 1, 2015
Robert J Fulton Individual Corporate DirectorBoard Member Jul 1, 2015
Akhil Jain Individual Corporate DirectorBoard Member Jul 1, 2017
Brian Skinner Individual Corporate DirectorBoard Member Nov 23, 2011
George Benjamin Clarke Individual Corporate DirectorBoard Member Jul 1, 2024
Katherine Knaus Individual Corporate DirectorBoard Member Jul 1, 2023
Childrens Health System Inc Organization, Norfolk, VA Non-profit Other May 21, 1984
Amy Jo Sampson Individual Corporate OfficerPresident/Ceo Jun 21, 2023
Corporate DirectorBoard Member Jun 21, 2023
Julie Beck Individual Corporate DirectorBoard Member Jul 1, 2021
Kieran Poulos Individual Corporate Director Jul 1, 2020
Susan Snodgrass Wynne Individual Corporate DirectorBoard Member Jul 1, 2024
Martha R Colen Individual Corporate DirectorBoard Member Jul 1, 2019
Katrina M Lesher Individual Corporate DirectorBoard Member Jul 1, 2023
John Lawson Individual Corporate DirectorBoard Member Nov 23, 2011
Gregory Jones Individual W-2 Managing EmployeeDirector, Contract Development Mar 15, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1669137121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-668-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Childrens Ln",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071910",
            "country_code": "US",
            "telephone_number": "757-668-4673",
            "fax_number": "757-668-8870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Southampton Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101021",
            "country_code": "US",
            "telephone_number": "757-668-9647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Landstown Centre Way",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234561624",
            "country_code": "US",
            "telephone_number": "757-668-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ABSHIRE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP CFO",
        "authorized_official_telephone_number": "757-668-8565"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004900961",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.