Active NPI
Kathy Shea, APN, CFNP
- Family Nurse Practitioner
- Williamsburg, VA
National Provider Identifier
1699700633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024171252
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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.