Individual provider Active NPI

Karen Mathias, R.N.,C.P.N.P.

  • Pediatric Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1730142043
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024049786 Issued in VA
Practice address
1701 High St
Suite 102
Portsmouth, VA 23704-3103
Phone
(757) 393-8585
Fax
(757) 673-0927
NPI assigned
Apr 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024049786 VA Primary

Addresses

Primary practice location

1701 High St
Suite 102
Portsmouth, VA 23704-3103

Mailing address

522 Kilby Shores Dr
Suffolk, VA 23434-6411
Phone (757) 934-7672

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024049786VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Virginia State Board of Health Past Accepting new patients
Commonwealth of Virginia State Board of Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730142043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 KILBY SHORES DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346411",
            "telephone_number": "757-934-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 HIGH ST",
            "address_2": "SUITE 102",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043103",
            "telephone_number": "757-393-8585",
            "fax_number": "757-673-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "KAREN",
        "credential": "R.N.,C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024049786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.