Kathleen Elizabeth Mares, CANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024062894 Issued in VA

Practice address

8109 Hinson Farm Rd Ste 504
Alexandria, VA 22306-3411

Phone

(703) 780-2800

Fax

(703) 780-0461

NPI assigned

May 11, 2006

Last updated

Mar 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Adult Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1720038862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7764 ARMISTEAD RD STE 240",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791920",
            "telephone_number": "571-359-4000",
            "fax_number": "703-621-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 HINSON FARM RD STE 504",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063411",
            "telephone_number": "703-780-2800",
            "fax_number": "703-780-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "CANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024062894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-DC",
            "identifier": "0018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-VA",
            "identifier": "1720038862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8304870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Mar, M.D.
• Khadra Maraheel
• Espayline Marcelin
• Charles Marcus, MD
• Rebecca Marcus, PSY.D.
• Joseph Belarmin Marfori, M.D.
• Curtis C. Margerum, D.C.
• Robyn Brickel Margolies, M.A., LMFT
• Therese Margot
• Arianne Marigliano

• Adult Health Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.