Active NPI
Kimberly Danielle Rees, PA-C
- Physician Assistant
- Richmond, VA
National Provider Identifier
1669910857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110005665
- Practice address
- 7101 Jahnke Rd
Richmond, VA 23225-4017 - Phone
- (706) 863-9595
- Fax
- (706) 868-8375
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110005665 | VA | Primary |
Addresses
Primary practice location
7101 Jahnke Rd
Richmond, VA 23225-4017
Mailing address
PO Box 3548
Augusta, GA 30914-3548
Phone (706) 863-9595
Other names 1
- Kimberly Danielle Wooldridge
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwooldridge10821@direct.orthovirginia.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170424000774 | VA | Practitioner - Physician Assistant | 1557647773 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kwooldridge10821@direct.orthovirginia.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1669910857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3548",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143548",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254017",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REES",
"first_name": "KIMBERLY",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110005665",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwooldridge10821@direct.orthovirginia.com",
"affiliation": "N",
"endpointDescription": "Dr. Rees direct messaging",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "secure messaging",
"address_1": "7858 Shrader Rd",
"city": "Henrico",
"state": "VA",
"country_code": "US",
"postal_code": "23294",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "WOOLDRIDGE",
"middle_name": "DANIELLE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.