Individual provider Active NPI

Jane Ann Krom, CPNP

  • Pediatric Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1760417877
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
24102391 Issued in VA
Practice address
500 Discovery Dr
Chesapeake
Chesapeake, VA 23320-3871
Phone
(757) 668-2500
Fax
(757) 668-2510
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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 24102391 VA Primary

Addresses

Primary practice location

500 Discovery Dr
Chesapeake
Chesapeake, VA 23320-3871

Mailing address

500 Discovery Dr
Chesapeake
Chesapeake, VA 23320-3871
Phone (757) 668-2500

Other identifiers 3

IdentifierTypeStateIssuer
0778849MedicaidVA
7004780MedicaidNC
96630NOtherVAOPTIMA HEALTH

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

State licenses

LicenseStateTypeSpecialty
24102391VAMDPediatric Nurse Practitioner

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": "1357776000000",
    "number": "1760417877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DISCOVERY DR",
            "address_2": "CHESAPEAKE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203871",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DISCOVERY DR",
            "address_2": "CHESAPEAKE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203871",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROM",
        "first_name": "JANE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "24102391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0778849",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004780",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "96630N",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.