Individual provider Active NPI

Kathy Shea, APN, CFNP

  • Family Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1699700633
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171252 Issued in VA
Practice address
263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674
Phone
(757) 941-5600
Fax
(757) 564-0557
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209002514 IL
Family Nurse Practitioner 363LF0000X 0024171252 VA Primary

Addresses

Primary practice location

263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674

Mailing address

263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674
Phone (757) 941-5600

Other practice location 1

300 Mt Clement Park
Suite A
Tappahannock, VA 22560-5098
Phone (804) 443-8610

Other names 1

  • Kathy Peifer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kshea6043@direct.rivhs.com

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1699700633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 MCLAWS CIR STE 105",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855674",
            "telephone_number": "757-941-5600",
            "fax_number": "757-564-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MCLAWS CIR STE 105",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855674",
            "telephone_number": "757-941-5600",
            "fax_number": "757-564-0557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Mt Clement Park",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605098",
            "country_code": "US",
            "telephone_number": "804-443-8610",
            "fax_number": "804-443-8620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "KATHY",
        "credential": "APN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209002514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "PEIFER",
            "credential": "APN, CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.