Active NPI
Kathleen Beckman, PNP
- Pediatric Nurse Practitioner
- Fredericksburg, VA
National Provider Identifier
1679847073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024169742
- Practice address
- 4550 Empire CT
Fredericksburg, VA 22408-1939 - Phone
- (540) 604-9894
- Fax
- (540) 604-9895
- NPI assigned
- Mar 2, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024169742 | VA | Primary |
Addresses
Primary practice location
4550 Empire CT
Fredericksburg, VA 22408-1939
Mailing address
125 Olde Greenwich Dr
Suite 160
Fredericksburg, VA 22408-4001
Phone (540) 741-0544
Other names 1
- Kathleen Berney
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120328000463 | VA | Practitioner - Nurse Practitioner | 5597925529 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PL Pediatrics, PLLC | Current | Accepting new patients | |
| Kidz Docs, PLLC | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | Accepting new patients |
Locations
4550 Empire Ct
Fredericksburg, VA 22408
Phone (540) 361-1800
Interoperability endpoints
- kathleen.beckman@tkd.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Fredericksburg, VA
- NPI 1518998236
-
- Pediatric Adolescent Medicine Physician
- Alexandria, VA
- NPI 1962616813
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1679847073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 OLDE GREENWICH DR",
"address_2": "SUITE 160",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224084001",
"telephone_number": "540-741-0544",
"fax_number": "540-741-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 EMPIRE CT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224081939",
"telephone_number": "540-604-9894",
"fax_number": "540-604-9895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "KATHLEEN",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024169742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "BERNEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.