Active NPI
Kathyrn Scribner, NP
- Nurse Practitioner
- Petersburg, VA
National Provider Identifier
1750545281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024164803
- Practice address
- 44 Medical Park Blvd
Suite a
Petersburg, VA 23805-9349 - Phone
- (804) 324-4511
- Fax
- (804) 835-5103
- NPI assigned
- Jul 14, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024164803 | VA | Primary |
Addresses
Primary practice location
44 Medical Park Blvd
Suite a
Petersburg, VA 23805-9349
Mailing address
44 Medical Park Blvd
Suite a
Petersburg, VA 23805-9349
Phone (804) 324-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331032738 | Other | VA | UNITED HEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1750545281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MEDICAL PARK BLVD",
"address_2": "SUITE A",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059349",
"telephone_number": "804-324-4511",
"fax_number": "804-835-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 MEDICAL PARK BLVD",
"address_2": "SUITE A",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059349",
"telephone_number": "804-324-4511",
"fax_number": "804-835-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRIBNER",
"first_name": "KATHYRN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024164803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "331032738",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.