Individual provider Active NPI

Catherine A Groden, NP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1770835993
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168092 Issued in VA
Practice address
10301 New Guinea Rd
Target
Fairfax, VA 22032
Phone
(703) 764-5100
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168092 VA Primary
Family Nurse Practitioner 363LF0000X AC000668 MD

Addresses

Primary practice location

10301 New Guinea Rd
Target
Fairfax, VA 22032

Mailing address

1593 N Colonial Ter
405
Arlington, VA 22209-1430
Phone (571) 242-5253

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

State licenses

LicenseStateTypeSpecialty
AC000668MDMDFamily Nurse Practitioner
0024168092VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1770835993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 N COLONIAL TER",
            "address_2": "405",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222091430",
            "telephone_number": "571-242-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 NEW GUINEA RD",
            "address_2": "TARGET",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22032",
            "telephone_number": "703-764-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODEN",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168092",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC000668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.